Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY DEWAYNE TUCKER
ActiveMedical Technologist · CAMP LEJEUNE, NC
Registration Details
- NPI Number
- 1407998404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2007 (19.188163889155 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
US COAST GUARD SPECIAL MISSIONS TRAINING CENTERBB-11 COURTHOUSE BAYCAMP LEJEUNE, NC, 28542Browse NC providers · Browse ZIP 28542
- Phone
- 9103760773
- Fax
- 9104507040
- Primary Specialty
-
Medical Technologist
246QM0706X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.