IndividualActive
Candy Tucker
NPI 1396408159 · Gerontology Registered Nurse · Anna, IL
Provider details
- NPI number
- 1396408159
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 041417537 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
315 Brady Mill Rd
Anna, IL 62906-2306
Phone: (618) 833-6343
Approximate (ZIP-level) locationGet directions
Mailing address
315 Brady Mill Rd
Anna, IL 62906-2306
Registry dates
- Enumerated
- 2021-10-19
- Last updated
- 2021-10-19
- Certified
- 2021-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.