Jessica Tucker
Day Training/Habilitation Specialist in Paragould, AR. Individual provider (NPI-1).
NPI number1962079111
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1962079111
- Entity type
- Individual (NPI-1)
- Name
- Jessica Tucker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
1910 Rector RdParagould, AR 72450-2004
Phone 870-240-8900
Mailing address
3127 Southwest Dr Ste AJonesboro, AR 72404-8404
Phone 870-336-8100
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 24 Day Training/Habilitation Specialist providers in Paragould · All 1,666 providers in Paragould
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