IndividualActive
Juan Tucker, CCP
NPI 1881329225 · Perfusionist · Hattiesburg, MS
Provider details
- NPI number
- 1881329225
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone: (601) 288-4243
Approximate (ZIP-level) locationGet directions
Mailing address
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Registry dates
- Enumerated
- 2022-07-20
- Last updated
- 2022-07-20
- Certified
- 2022-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.