Jolie Tucker, is a
Student In An Organized Health Care Education/training Program based in Decatur, Georgia. Jolie Tucker is licensed to practice in * (Not Available) (license number ) and her current practice location is
153 Woodlawn Ave, Decatur, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 861-7165.
NPI number for Jolie Tucker is 1972366011 and her current mailing address is 153 Woodlawn Ave, Decatur, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972366011.
Provider's Profile
Full Name | Jolie Tucker |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 153 Woodlawn Ave, Decatur, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972366011
- Provider Enumeration Date: 02/01/2024
- Last Update Date: 03/02/2024
Medical Identifiers
Medical identifiers for Jolie Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972366011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jolie Tucker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jolie Tucker, 153 Woodlawn Ave, Decatur, GA 30030-2310 Ph: () - | Jolie Tucker, 153 Woodlawn Ave, Decatur, GA 30030-2310 Ph: (770) 861-7165 |
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