| 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  |