Tucker, Dawn Renee

Tucker, Dawn Renee is an individual health care provider with primary practice located at 325 Clyde Morris Blvd Ste 400 , Ormond Beach FL 32174. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tucker, Dawn Renee can be contacted via phone (386) 671-0600.

Contact Information

Primary practice address
325 Clyde Morris Blvd Ste 400 Ormond Beach FL 32174
Phone: (386) 671-0600
Fax: (386) 677-9710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9306602 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9306602F Florida

Profile Details

NPI number 1336531243
LBN Legal business name Tucker, Dawn Renee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2015
Last updated Dec 21st, 2018 - about 8 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 1336531243 NPPES
Florida MEDICAID 017198900
Florida Other P01655870
Florida Other H6569

Popular Providers