MRS. TRACY DE ANN TUCKER (NPI# 1992051213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992051213 |
| Entity Type | Individual |
| Full Name | MRS. TRACY DE ANN TUCKER |
| Other Name | MRS. TRACY DE ANN SHRAKE |
| Credential | APN |
| Practice Address |
300 Carson St Jonesboro AR 72401 |
| Mailing Address |
300 Carson St Jonesboro AR 72401-3104 |
| Practice Telephone | 8709321198 |
| Practice Fax Number | 8709107709 |
| Mailing Telephone | 8709321198 |
| Mailing Fax Number | 8709107709 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
S002266 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053732552 | Tracy Michelle Tucker | Registered Nurse | 2307 Laporte Ave Ste 8, Valparaiso, IN 46383-6997 | 2013-12-30 |
| 1861539173 | Tracy Tucker | Social Worker | 2355 S Arlington Heights Rd, Suite 210, Arlington Heights, IL 60005-4506 | 2007-01-30 |
| 1548316235 | Tracy Lee Tucker | Speech-Language Pathologist | 300 N Kentucky Ave, Roswell, NM 88201-4636 | 2007-01-26 |
| 1568491348 | Tracy L Tucker | Emergency Medicine | 1201 W 12th Ave, Emporia, KS 66801-2504 | 2006-07-02 |
| Street Address |
300 CARSON ST |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036924 | John Franklin Ball | Orthopaedic Surgery | 300 Carson St, Jonesboro, AR 72401-3104 | 2005-07-07 |
| 1497376040 | Zachary Carter Lee | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-05 |
| 1598386344 | Austin Richardson | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-04 |
| 1225659014 | Derek M Childers | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1881215697 | Joshua Buell | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1912528704 | Anna Margarita De Feria | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-03 |
| 1184245037 | Hadia I Arzoun | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2020-05-01 |
| 1407410905 | Amanda Sale | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-30 |
| 1952864324 | Cameron Sandefur | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-11 |
| 1306309059 | James Kenton Riddle | Student in an Organized Health Care Education/Training Program | 300 Carson St, Jonesboro, AR 72401-3104 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1548672413 | Angela Pugsley | Clinical Nurse Specialist | 900 Enterprise Dr, Jonesboro, AR 72401-9239 | 2014-05-27 |
| 1134489842 | Barbara Frances Gray | Clinical Nurse Specialist | 2020 Hytrol St, Jonesboro, AR 72401-6712 | 2012-05-29 |
| 1215170121 | Sara Beth Culbreath | Clinical Nurse Specialist | 4802 East Johnson Avenue, Jonesboro, AR 72401-8413 | 2009-04-08 |
| 1699387274 | Sarah E Dulaney | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-08-17 |
| 1437705910 | Tiffany Gail Kauffman | Clinical Nurse Specialist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-12 |
| 1174094213 | Michael E Anderson | Clinical Nurse Specialist | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2018-12-16 |
| 1497208508 | Joy D Escue | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2016-07-26 |
| 1679949457 | Ashley House | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2015-08-17 |
| 1104201482 | Carie Wells | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2015-07-28 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.