Nicole Tucker, RPAC
Physician Assistant, Medical in Rochester, NY. Individual provider (NPI-1).
NPI number1346277282
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1346277282
- Entity type
- Individual (NPI-1)
- Name
- Nicole Tucker
- Credential
- RPAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Certification date
- May 21, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 008831 | NY | Yes |
Practice location
2655 Ridgeway Ave Ste 180Rochester, NY 14626-4296
Phone 585-368-4005 · Fax 585-225-2685
Mailing address
100 Kings Hwy SRochester, NY 14617-5504
Phone 585-368-4005 · Fax 585-225-2685
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