Tucker, Jennifer Dyann

Tucker, Jennifer Dyann is an sole proprietor health care provider with primary practice located at 2650 Nw Princess St , Corvallis OR 97330-3219. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Tucker, Jennifer Dyann can be contacted via phone (503) 508-3515.

Contact Information

Primary practice address
2650 Nw Princess St Corvallis OR 97330-3219
Phone: (503) 508-3515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 201243633RN Oregon

Profile Details

NPI number 1376883488
LBN Legal business name Tucker, Jennifer Dyann
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2013
Last updated Feb 26th, 2013 - about 12 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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