JENNIFER TUCKER (NPI# 1063881068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063881068 |
| Entity Type | Individual |
| Full Name | JENNIFER TUCKER |
| Credential | MSN, APRN, NNP-BC |
| Practice Address |
620 Skyline Dr Jackson TN 38301-3923 |
| Mailing Address |
500 Primrose Cv Memphis TN 38117-3645 |
| Practice Telephone | 7315415000 |
| Mailing Telephone | 9016057688 |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2015-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
20415 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093335010 | Jennifer Ann Tucker | Case Manager/Care Coordinator | 7913 Nw 28th Ter, Bethany, OK 73008-4465 | 2020-04-20 |
| 1811554280 | Jennifer J Tucker | Counselor | 502 Main St W Ste 306, Ashland, WI 54806-1579 | 2019-05-21 |
| 1376883488 | Jennifer Dyann Tucker | Registered Nurse | 2650 Nw Princess St, Corvallis, OR 97330-3219 | 2013-02-26 |
| 1891092789 | Jennifer Lee Tucker | Licensed Practical Nurse | 23059 State Route 206, Warsaw, OH 43844-9487 | 2011-02-11 |
| 1699334490 | Jennifer Leigh Tucker | Social Worker | 407 East Third Street, Duluth, MN 55805-1950 | 2019-06-06 |
| 1528542354 | Jennifer Lynn Tucker | Nurse Practitioner | 1000 Old Denbigh Blvd Ste 1020a, Newport News, VA 23602-2017 | 2018-09-18 |
| 1942715669 | Jennifer Lynn Tucker | Counselor | 447 W Bearcat Dr, Salt Lake City, UT 84115-2519 | 2017-12-04 |
| 1225573538 | Jennifer Leigh Tucker | Counselor | 7109 Fm 2920 Rd Ste 600, Spring, TX 77379-2218 | 2016-12-21 |
| 1760831762 | Jennifer Sue Tucker | Social Worker | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2016-06-09 |
| 1578948931 | Jennifer Tucker | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2015-07-28 |
| Street Address |
620 SKYLINE DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821094608 | Julie A Mcbroom | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2005-06-25 |
| 1205440260 | Heather Middleton | Registered Nurse | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-09-06 |
| 1780297291 | Holly R Jones | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-08-25 |
| 1851909972 | Earl Wade Lomax | Student in an Organized Health Care Education/Training Program | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-07-15 |
| 1356960835 | Gregory Heath Mcneely | Registered Nurse | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-04-14 |
| 1174157515 | Matthew Lee Luttrell | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-02-25 |
| 1528698594 | Heidi Hill | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2020-01-18 |
| 1407406861 | Justin Harrison | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-09-18 |
| 1770131856 | Shelby Kathryn Berry | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-08-30 |
| 1891342028 | Jack Harold Fields IIi | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558799536 | Jennifer Kilzer | Nurse Practitioner | 4458 Bittersweet Ct, Jackson, WI 53037-9754 | 2013-10-29 |
| 1790320729 | Mary Davis | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-11-13 |
| 1265077200 | Brittany Nicole Harris | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2019-11-13 |
| 1962939298 | Attiya Sinclair | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2017-05-17 |
| 1689040669 | Gabriel Lewis Macias | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2015-08-13 |
| 1952795387 | Jennifer Humphries | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2015-03-24 |
| 1194157784 | Sara Marie Presley | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2013-08-06 |
| 1962757260 | Nora Bishop | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2012-07-23 |
| 1720352792 | Melanie W. Ellis | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2012-03-08 |
| 1457625493 | Leslie Dyess May | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2012-03-07 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.