SALLIE ELIZABETH TUCKER FNP NPI 1821142605

NPI Information

NPI: 1821142605
Provider Name: SALLIE ELIZABETH TUCKER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
6606 LBJ FWY
SUITE 200
DALLAS, TX
ZIP 75240
Phone: (972) 715-5000
Get Directions

Sallie Elizabeth Tucker, FNP is a family nurse practitioner in Dallas, TX. Sallie Elizabeth Tucker, FNP NPI is 1821142605. 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:

6606 LBJ FWY
SUITE 200
DALLAS, TX
ZIP 75240-533
Phone: (972) 715-5000
Fax: (972) 715-9976

The enumeration date for this NPI number is 1/22/2007 and was last updated on 11/3/2015.

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	163WG0000X	Registered Nurse	General Practice	RN0000116942	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	APN0000007667	TENNESSEE	No
3	363LF0000X	Nurse Practitioner	Family	809329	TEXAS	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	311920802	MEDICAID	TEXAS
2	3908789	MEDICAID	TENNESSEE
3	3908789	MEDICARE PIN	TENNESSEE
4	311920801	MEDICAID	TEXAS
5	P01446964	OTHER	TEXAS	RR
6	8EH586	OTHER	TEXAS	BCBS
7	266164YK6U	MEDICARE PIN	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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