Mrs Holly A Tucker, NP | |
430 Long Hollow Pike, Suite E, Goodlettsville, TN 37072-3488 | |
(615) 859-8081 | |
Not Available |
Full Name | Mrs Holly A Tucker |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 430 Long Hollow Pike, Goodlettsville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437100195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN99652 (Tennessee) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | APN0000006978 (Tennessee) | Secondary |
Entity Name | Davishire Dermatology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811648066 PECOS PAC ID: 2860870979 Enrollment ID: O20220602000000 |
Mailing Address | Practice Location Address |
---|---|
Mrs Holly A Tucker, NP 1001 Thistle Ct, Hendersonville, TN 37075-9611 Ph: (615) 973-7208 | Mrs Holly A Tucker, NP 430 Long Hollow Pike, Suite E, Goodlettsville, TN 37072-3488 Ph: (615) 859-8081 |
Kimberly Manning, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1412 Campbell Rd, Goodlettsville, TN 37072 Phone: 615-859-1443 | |
Joy Kathleen Johnson, RN, BSN, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 300 Frances St, Goodlettsville, TN 37072 Phone: 626-224-1452 | |
Mr. Kerry Wade Brito, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 687 Long Hollow Pike, Goodlettsville, TN 37072 Phone: 615-880-2138 | |
Natisha Shanae Holloway, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5105 Preston Run, Goodlettsville, TN 37072 Phone: 615-636-1122 | |
Ms. Nancy Crockett Donlon, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3024 Business Park Cir, Goodlettsville, TN 37072 Phone: 615-239-2061 Fax: 615-239-2034 | |
Ms. Temicka M Campbell, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 604 Solitude Cir, Goodlettsville, TN 37072 Phone: 615-594-6449 |