Tucker, Beverly Anne

Tucker, Beverly Anne is an sole proprietor health care provider with primary practice located at 520 Sw Beauford Pl , Lake City FL 32024-5244. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Tucker, Beverly Anne can be contacted via phone (386) 752-3332.

Contact Information

Primary practice address
520 Sw Beauford Pl Lake City FL 32024-5244
Phone: (386) 752-3332
Fax: (386) 752-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN 5175827 Florida

Profile Details

NPI number 1972745669
LBN Legal business name Tucker, Beverly Anne
Credentials LPN, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2009
Last updated Mar 27th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972745669 NPPES
Other PN 5175827 STATE LICENSE BOARD

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