Mr. Jesse Tucker
Nurse Practitioner - Psychiatric/Mental Health
1006 N Bowen Rd Ste 126
Arlington
, Texas 76012-2800
Mr. Jesse Tucker
Nurse Practitioner - Psychiatric/Mental Health
1006 N Bowen Rd Ste 126
Arlington
, Texas 76012-2800
(817) 478-5333
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mr. Jesse Tucker
- 1006 N Bowen Rd Ste 126
- Arlington, TX
- Zip : 76012-2800
- Phone : (817) 478-5333
Second Address
- Mr. Jesse Tucker
- 1006 N Bowen Rd Ste 126
- Arlington, TX
- Zip : 76012-2800
- Phone : (817) 478-5333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP126798 | TX |
National Provider Identifier
| NPI | 1033513577 |
|---|---|
| Provider Name | Mr. Jesse Tucker |
| First Address | Arlington, TX 76012-2800 |
| Second Address | Arlington, TX 76012-2800 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2014 |
| Last Update Date | 29/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.