Tucker, Vernon O

Tucker, Vernon O is an individual health care provider with primary practice located at 3728 S Pinnacle Hills Pkwy , Rogers AR 72758-8897. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Tucker, Vernon O can be contacted via phone (479) 790-3328.

Contact Information

Primary practice address
3728 S Pinnacle Hills Pkwy Rogers AR 72758-8897
Phone: (479) 790-3328
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X C000969 Arkansas

Profile Details

NPI number 1417937657
LBN Legal business name Tucker, Vernon O
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Feb 7th, 2023 - about 2 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 1417937657 NPPES
Missouri MEDICAID 917321903
Missouri Other 5T077
Missouri MEDICAID 134260701

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