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CANDY TUCKER NPI 1396408159


NPI Information

NPI: 1396408159
Provider Name: CANDY TUCKER
Classification: Registered Nurse - 163WG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
315 BRADY MILL RD
ANNA, IL
ZIP 62906
Phone: (618) 833-6343
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Candy Tucker is a gerontology registered nurse in Anna, IL. Candy Tucker NPI is 1396408159. 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:

315 BRADY MILL RD
ANNA, IL
ZIP 62906-306
Phone: (618) 833-6343

The enumeration date for this NPI number is 10/19/2021 and was last updated on 10/19/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WG0600XRegistered NurseGerontology041417537ILLINOISYes

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
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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