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Contact Information

TAMMY G LUCAS, AG-ACNP, ENP, WHNP
7300 RAEFORD RD
FAYETTEVILLE, NC28304-0807
 Phone: 910-488-2120
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
 

Acute Care

364SA2100X 89 Certified Clinical Nurse Specialist
 

Women's Health

363LW0102X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TAMMY G LUCAS · (Female)

NPI # 1306377999
Status Active
Credentials AG-ACNP, ENP, WHNP
Entity Individual
Enumeration date 03/24/2017
Last updated 02/18/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-080479
  • NC License # 5009533
  • NC License # LUCA-04B17Z
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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