TAYLOR LYNN TUCKER CPNP NPI 1528728821

NPI Information

NPI: 1528728821
Provider Name: TAYLOR LYNN TUCKER, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
3950 BEAUBIEN ST
DETROIT, MI
ZIP 48201
Phone: (313) 832-9330
Get Directions

Taylor Lynn Tucker, CPNP is a pediatrics nurse practitioner in Detroit, MI with 3 years of experience. Taylor Lynn Tucker, CPNP NPI is 1528728821. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

3950 BEAUBIEN ST
DETROIT, MI
ZIP 48201-166
Phone: (313) 832-9330

The NPI 1528728821 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/28/2021 and was last updated on 12/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	4704333899	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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