MARY W TUCKER APRN, BC
NPI 1386775641
Nurse Practitioner - Pediatrics in Maryville, TN

Q: What is Mary Tucker's NPI number?

The NPI number for Mary Tucker is 1386775641. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Q: What is Mary Tucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mary Tucker was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 08, 2007

116 CHANTILLY LANE, MARYVILLE, TN 37803(865) 273-1616(865) 273-1645 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mary W Tucker Aprn, Bc NPPES

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

MARY W TUCKER APRN, BC (NPI 1386775641) is an individual pediatrics provider in Maryville, Tennessee, licensed in Tennessee (APN0000010443) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1386775641

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARY W TUCKERCredential: APRN, BC

Location Address116 CHANTILLY LANEMaryville, TN 37803

Mailing AddressPo Box 5629Maryville, TN 37802-5629 · (865) 273-1752 · Fax (865) 273-1755

Phone(865) 273-1616

Fax(865) 273-1645

Sole ProprietorNo

Enumeration DateMarch 8, 2007

Last NPPES UpdateFebruary 19, 2008

✔ NPI 1386775641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TN · APN0000010443

116 CHANTILLY LANE, Maryville, TN 37803

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Other Identifiers 3

Medicare PIN3341063TN

Medicaid3341063TN

OtherAPN0000010443TN · License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Tucker's NPI number?

The NPI number for Mary Tucker is 1386775641. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Mary Tucker located?

Mary Tucker practices at 116 Chantilly Lane, Maryville, TN 37803. The listed phone number is (865) 273-1616.

What is Mary Tucker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mary Tucker was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.