IndividualActive
Jerry Tucker, RDN
NPI 1952095556 · Oncology Nutrition Registered Dietitian · Albuquerque, NM
Provider details
- NPI number
- 1952095556
- Entity type
- Individual
- Primary specialty
- Oncology Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Male
- Sole proprietor
- No
- License
- LD2023084 (NM)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
715 Dr Martin Luther King Jr Ave Ne Ste 102
Albuquerque, NM 87102-3666
Phone: (505) 727-3028
Approximate (ZIP-level) locationGet directions
Mailing address
8201 Golf Course Rd Nw Ste 183
Albuquerque, NM 87120-5842
Registry dates
- Enumerated
- 2023-06-06
- Last updated
- 2023-06-06
- Certified
- 2023-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.