JENNIFER DYANN TUCKER (NPI# 1376883488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376883488 |
| Entity Type | Individual |
| Full Name | JENNIFER DYANN TUCKER |
| Credential | RN |
| Practice Address |
2650 Nw Princess St Corvallis OR 97330-3219 |
| Practice Telephone | 5035083515 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2013-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
201243633RN | OR | Nursing Service 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 |
| 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 |
| 1063881068 | Jennifer Tucker | Nurse Practitioner | 620 Skyline Dr, Jackson, TN 38301-3923 | 2015-09-20 |
| 1578948931 | Jennifer Tucker | Counselor | 400 Stoddard Rd, Richmond, MI 48062-2505 | 2015-07-28 |
| Street Address |
2650 NW PRINCESS ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159006 | Emma Bryanne Blake | Registered Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-06-17 |
| 1013536036 | Brittany Hope Mchaffie | Registered Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-04-09 |
| 1679105191 | Lauren Van Arsdel | Registered Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-02-12 |
| 1336789502 | Kaytlin Miller | Registered Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-01-15 |
| 1972143147 | Bethany Hinckle | Registered Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-01-15 |
| 1528537776 | Kiel Joseph Bowen | Registered Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-11-16 |
| 1295218220 | Erin Lynn Johnson | Registered Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-09-14 |
| 1942783964 | Thomas Gazeley | Registered Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-09-14 |
| 1932682952 | Nicole Linn Acosta | Registered Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2018-09-14 |
| 1962951939 | Michael Fisher | Registered Nurse | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2016-10-01 |
| Find all providers in CORVALLIS | ||||
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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.