| Doctor Name: | KRISTI E TUCKER |
| NPI Number: | 1003200528 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 752200 |
| Business Practice Address: | 801 7th Ave Fort Worth, TX - 761042733 |
| Business Phone Number: | 6828851475 |
| Business Fax Number: | 6828857520 |
| Mailing Address: | Po Box 99213, FORT WORTH |
| State: | TX |
| Postal Code: | 761990213 |
| Phone Number: | 6828854446 |
| Fax Number: | 6828857347 |
| NPI Enumeration Date: | 03/23/2015 |
| NPI Last Update Date: | 04/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 752200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |