Lookup NPI Numbers from the NPI Registry
NPI Profile for LISA Y TUCKER in COLUMBIA, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Diabetes Educator |
163WD0400X |
| NPI # | 1679093462 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/22/2017 | |
| Last updated | 11/09/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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LISA Y TUCKER
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LISA Y TUCKER, FNP