MRS. AUTUMN MARIE TUCKER LPN
NPI 1124346366
Licensed Practical Nurse in Hartford, NY

Active since May 12, 2010
7711 STATE ROUTE 40, HARTFORD, NY 12838(518) 932-6694 Get Directions Write a Review

NPPES record last updated: May 12, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About AUTUMN TUCKER

This page provides the complete NPI Profile along with additional information for Autumn Tucker, a provider established in Hartford, New York with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1124346366 assigned on May 2010. The practitioner's primary taxonomy code is 164W00000X with license number 297951-1 (NY). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1124346366 Verify this NPI
Provider Name
MRS. AUTUMN MARIE TUCKER LPN
Gender
Female
Entity Type
Individual
Location Address
7711 STATE ROUTE 40 HARTFORD, NY 12838
Location Phone
(518) 932-6694
Mailing Address
7711 STATE ROUTE 40 HARTFORD, NY 12838
Mailing Phone
(518) 932-6694
Is Sole Proprietor?
Yes
Enumeration Date
05-12-2010
Last Update Date
05-12-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
297951-1
License State
NY
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124346366, enumerated as an "individual" on May 12, 2010.

The provider is located at 7711 STATE ROUTE 40 HARTFORD, NY 12838 and the phone number is (518) 932-6694.

Licensed Practical Nurse with taxonomy code 164W00000X.