| Doctor Name: | LINDA S TUCKER |
| NPI Number: | 1053547000 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 6536P |
| Business Practice Address: | 110 S New Albany St Sellersburg, IN - 471721540 |
| Business Phone Number: | 8122461835 |
| Business Fax Number: | 8122461976 |
| Mailing Address: | 110 S New Albany St, SELLERSBURG |
| State: | IN |
| Postal Code: | 471721540 |
| Phone Number: | 8122461835 |
| Fax Number: | 8122461976 |
| NPI Enumeration Date: | 06/04/2009 |
| NPI Last Update Date: | 03/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 6536P |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |