| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAMANTHA ANN TUCKER | 1043887458 | 2021-06-06 |
Samantha Ann Tucker is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043887458. Registration indicates Samantha Ann Tucker is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, )
| Entity Type | Individual |
| Provider Name | Samantha Ann Tucker |
| Practice Office Address | 2400 WHITE AVE NASHVILLE, TN US |
| Practice Office Telephone | 6157853926 |
| Mailing Address | 1899 WESTSIDE DR ROCHESTER, NY 146243741 US |
| Code | Practice | License No State |
|---|---|---|
| 261QM0801X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Mental Health (Including Community Mental Health Center), Community Mental Health Center Clinic/Center Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities Clinic/Center |