JORDAN RYAN TUCKER FNP NPI 1083309462

NPI Information

  • NPI: 1083309462
  • Provider Name: JORDAN RYAN TUCKER, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 LAUCHWOOD DR
    LAURINBURG, NC
    ZIP 28352
  • Phone: (910) 277-9164

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NPI Details

Jordan Ryan Tucker, FNP is a family nurse practitioner in Laurinburg, NC with 5 years of experience. Jordan Ryan Tucker, FNP NPI is 1083309462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 LAUCHWOOD DR
LAURINBURG, NC
ZIP 28352-501
Phone: (910) 277-9164

The NPI 1083309462 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 4/10/2023 and was last updated on 7/15/2024.

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
1363LF0000XNurse PractitionerFamily5017840NORTH CAROLINAYes

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: 11/21/2025

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