Tucker, Jane L

Tucker, Jane L is an individual health care provider with primary practice located at 2315 Dougherty Ferry Rd Suite 205, Saint Louis MO 63122-3383. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tucker, Jane L can be contacted via phone (314) 977-9600.

Contact Information

Primary practice address
2315 Dougherty Ferry Rd Suite 205 Saint Louis MO 63122-3383
Phone: (314) 977-9600
Fax: (314) 977-9627
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101055692 Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2013038957 Missouri

Profile Details

NPI number 1942275045
LBN Legal business name Tucker, Jane L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Apr 19th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942275045 NPPES
Virginia MEDICAID 010114438

Popular Providers