Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MAA JEBBEH TUCKER
NPI 1245156009
Licensed Practical Nurse in Cherryland, CA

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since June 26, 2026

494 BLOSSOM WAY, CHERRYLAND, CA 94541(510) 582-7676(510) 582-9080 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Maa Jebbeh Tucker NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAA JEBBEH TUCKER (NPI 1245156009) is an individual licensed practical nurse in Cherryland, California, licensed in California (248054) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1245156009

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMAA JEBBEH TUCKER

Location Address494 BLOSSOM WAYCherryland, CA 94541-1948

Mailing Address494 Blossom WayCherryland, CA 94541-1948 · (510) 582-7676 · Fax (510) 582-9080

Phone(510) 582-7676

Fax(510) 582-9080

Sole ProprietorYes

Enumeration DateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1245156009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in CA · 248054

Definition

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.

494 BLOSSOM WAY, Cherryland, CA 94541

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