Tucker, Brandi
Tucker, Brandi is an sole proprietor health care provider with primary practice located at 7 Shackleford West Blvd , Little Rock AR 72211-3886. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tucker, Brandi can be contacted via phone (501) 664-5860.Contact Information
Primary practice address
7 Shackleford West Blvd
Little Rock AR 72211-3886
Phone: (501) 664-5860
Fax: (501) 664-0889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A004515 | Arkansas |
Profile Details
| NPI number | 1316318595 |
|---|---|
| LBN Legal business name | Tucker, Brandi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2015 |
| Last updated | Oct 13th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316318595 | NPPES |
| Arkansas | Other | A004515 | STATE LICENSE |
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