Bracken, Christy Tucker
Bracken, Christy Tucker is an individual health care provider with primary practice located at Medical Center Blvd Emergency Department, Winston Salem NC 27157-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bracken, Christy Tucker can be contacted via phone (336) 716-8740.Contact Information
Primary practice address
Medical Center Blvd Emergency Department
Winston Salem NC 27157-0001
Phone: (336) 716-8740
Fax: (336) 716-0345
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 104021 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 104021 | North Carolina |
Profile Details
NPI number | 1194766477 |
---|---|
LBN Legal business name | Bracken, Christy Tucker |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2006 |
Last updated | Jul 2nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194766477 | NPPES |
Other | 202781 | MEDCOST |
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