| Dakota Tucker, DNP, APRN, CPNP-PC | |
|
411 Town Park Blvd, Evans, GA 30809-3487 | |
| (706) 854-2500 | |
| Not Available |
| Full Name | Dakota Tucker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 411 Town Park Blvd, Evans, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821762337 | NPI | - | NPPES |
| 003275375D | Medicaid | GA | |
| 003275375C | Medicaid | GA | |
| 003275375A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | RN258659 (Georgia) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | RN258659 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dakota Tucker, DNP, APRN, CPNP-PC 411 Town Park Blvd, Evans, GA 30809-3487 Ph: () - | Dakota Tucker, DNP, APRN, CPNP-PC 411 Town Park Blvd, Evans, GA 30809-3487 Ph: (706) 854-2500 |