Dakota Tucker, DNP, APRN, CPNP-PC | |
411 Town Park Blvd, Evans, GA 30809-3487 | |
(706) 854-2500 | |
Not Available |
Full Name | Dakota Tucker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 411 Town Park Blvd, Evans, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821762337 | NPI | - | NPPES |
003275375D | Medicaid | GA | |
003275375C | Medicaid | GA | |
003275375A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | RN258659 (Georgia) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | RN258659 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dakota Tucker, DNP, APRN, CPNP-PC 411 Town Park Blvd, Evans, GA 30809-3487 Ph: () - | Dakota Tucker, DNP, APRN, CPNP-PC 411 Town Park Blvd, Evans, GA 30809-3487 Ph: (706) 854-2500 |