Tucker, Jessica
Tucker, Jessica is an individual health care provider with primary practice located at 3351 S Peak Dr Ste 101 , Fayetteville NC 28306-9693. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tucker, Jessica can be contacted via phone (910) 908-4673.Contact Information
Primary practice address
3351 S Peak Dr Ste 101
Fayetteville NC 28306-9693
Phone: (910) 908-4673
Fax: (910) 908-2242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200200473 | North Carolina |
Profile Details
| NPI number | 1740283001 |
|---|---|
| LBN Legal business name | Tucker, Jessica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Aug 15th, 2023 - about last year |
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 | 1740283001 | NPPES |
| North Carolina | MEDICAID | 89131KK |
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