TERESA D TUCKER NP NPI 1780866830

NPI Information

NPI: 1780866830
Provider Name: TERESA D TUCKER, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
765 FLORENCE RD
SAVANNAH, TN
ZIP 38372
Phone: (731) 925-2300
Get Directions

Teresa D Tucker, NP is a gerontology nurse practitioner in Savannah, TN with 25 years of experience. Teresa D Tucker, NP NPI is 1780866830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

765 FLORENCE RD
SAVANNAH, TN
ZIP 38372-451
Phone: (731) 925-2300

The NPI 1780866830 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 11/30/2007 and was last updated on 12/13/2022.

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	363L00000X	Nurse Practitioner		APN0000013057	TENNESSEE	No
2	363LG0600X	Nurse Practitioner	Gerontology	13057	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	613360505	OTHER		DOL FECA
2	APN0000013057	OTHER	TENNESSEE	STATE LICENSE
3	3341539	MEDICAID	TENNESSEE

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: 5/5/2024

NPI Synchronization or Removal

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