IndividualActive
Courtney Tucker, NP
NPI 1457958910 · Pediatric Nurse Practitioner · Pascagoula, MS
Provider details
- NPI number
- 1457958910
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 904215 (MS)
Mailing address
11526 Old Highway 43
Axis, AL 36505-4305
Registry dates
- Enumerated
- 2020-10-07
- Last updated
- 2020-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.