Tuck, Terry M

Tuck, Terry M is an individual health care provider with primary practice located at 2820 Normandy Dr , Petersburg VA 23805-9372. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Tuck, Terry M can be contacted via phone (804) 504-8764.

Contact Information

Primary practice address
2820 Normandy Dr Petersburg VA 23805-9372
Phone: (804) 504-8764
Fax: (804) 504-8845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024067536 Virginia

Profile Details

NPI number 1780800300
LBN Legal business name Tuck, Terry M
Credentials NP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jun 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780800300 NPPES
Virginia Other C10279 00X494N13 PROVIDER IDENTIFIER

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