Tucker, Dakota

Tucker, Dakota is an individual health care provider with primary practice located at 411 Town Park Blvd , Evans GA 30809-3487. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Tucker, Dakota can be contacted via phone (706) 854-2500.

Contact Information

Primary practice address
411 Town Park Blvd Evans GA 30809-3487
Phone: (706) 854-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X RN258659 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN258659 Georgia

Profile Details

NPI number 1821762337
LBN Legal business name Tucker, Dakota
Credentials DNP, APRN, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2021
Last updated Jan 24th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821762337 NPPES
Georgia MEDICAID 003275375D
Georgia MEDICAID 003275375C
Georgia MEDICAID 003275375A

Popular Providers