| Doctor Name: | WHITNEY DARSHEA TUCKER |
| NPI Number: | 1255794244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 2201 W Lampasas St Ennis, TX - 751195644 |
| Business Phone Number: | 9728750900 |
| Business Fax Number: | |
| Mailing Address: | 511 Northgate Dr, WAXAHACHIE |
| State: | TX |
| Postal Code: | 751654640 |
| Phone Number: | 4697334983 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2016 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |