Ms Jacqueline Ann Tutt, LPN is a
Licensed Practical Nurse based in San Carlos, Arizona. Ms Jacqueline Ann Tutt is licensed to practice in Arizona (license number LP024818) and her current practice location is
Skill Center Rd., San Carlos, Arizona. She can be reached at her office (for appointments etc.) via phone at
(928) 475-2262.
NPI number for Ms Jacqueline Ann Tutt is 1689868317 and her current mailing address is Box 767, San Carlos, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689868317.
Provider's Profile
Full Name | Ms Jacqueline Ann Tutt |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | Skill Center Rd., San Carlos, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689868317
- Provider Enumeration Date: 09/06/2007
- Last Update Date: 09/06/2007
Medical Identifiers
Medical identifiers for Ms Jacqueline Ann Tutt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689868317 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | LP024818 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Jacqueline Ann Tutt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Jacqueline Ann Tutt, LPN Box 767, San Carlos, AZ 85550 Ph: (928) 475-2640 | Ms Jacqueline Ann Tutt, LPN Skill Center Rd., San Carlos, AZ 85550 Ph: (928) 475-2262 |
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