Tucker, Lisa Yolanda Moore

Tucker, Lisa Yolanda Moore is an sole proprietor health care provider with primary practice located at 111 Doctor Cir , Columbia SC 29203-6502. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tucker, Lisa Yolanda Moore can be contacted via phone (800) 491-0909.

Contact Information

Primary practice address
111 Doctor Cir Columbia SC 29203-6502
Phone: (800) 491-0909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 90318 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 24917 South Carolina

Profile Details

NPI number 1679093462
LBN Legal business name Tucker, Lisa Yolanda Moore
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2017
Last updated Nov 9th, 2022 - 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.

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