Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN11010190 | FL |
N | 363LA2200X | Nurse Practitioner - Adult Health | RN193447 | GA |
N | 363LC1500X | Nurse Practitioner - Community Health | RN193447 | GA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN11010190 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | RN193447 | GA |
N | 363LP2300X | Nurse Practitioner - Primary Care | RN193447 | GA |
NPI | 1144595331 |
---|---|
Provider Name | Ramie L Tucker |
First Address | Jacksonville, FL 32232-5278 |
Second Address | Jacksonville, FL 32207-8432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2012 |
Last Update Date | 17/03/2021 |