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CANDY TUCKER
NPI 1396408159
Registered Nurse - Gerontology in Anna, IL

Active since October 19, 2021
315 BRADY MILL RD, ANNA, IL 62906(618) 833-6343 Get Directions Write a Review

NPPES record last updated: October 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candy Tucker NPPES

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

CANDY TUCKER (NPI 1396408159) is an individual gerontology provider in Anna, Illinois, licensed in Illinois (041417537) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1396408159
Entity TypeIndividualFemale
Primary Taxonomy163WG0600X
Provider Legal NameCANDY TUCKER
Location Address315 BRADY MILL RDAnna, IL 62906-2306
Mailing Address315 Brady Mill RdAnna, IL 62906-2306
Phone(618) 833-6343
Sole ProprietorYes
Enumeration DateOctober 19, 2021
NPPES CertifiedOctober 19, 2021
✔ NPI 1396408159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · GerontologyNursing Service Providers
Taxonomy Code163WG0600X
License✔ Licensed in IL · 041417537
315 BRADY MILL RD, Anna, IL 62906
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA KAY HUTMAN
Occupational Therapy Assistant
315 BRADY MILL RD
ANNA, IL 62906
Union County (618) 833-6343
ANTHONY SHANE BARKER RN
Registered Nurse (Administrator)
315 BRADY MILL RD
ANNA, IL 62906
Union County (618) 833-6343
MRS. OLIVIA LEANN BARKER REGISTERED NURSE
Registered Nurse (Gerontology)
315 BRADY MILL RD
ANNA, IL 62906
Union County (618) 833-6343
ANNA REHABILITATION AND NURSING CENTER, LLC
Skilled Nursing Facility
315 BRADY MILL RD
ANNA, IL 62906
Union County (618) 833-8321
JOSIAH MILLER RN
Registered Nurse (Gerontology)
315 BRADY MILL RD
ANNA, IL 62906
Union County (618) 833-6343

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 Candy Tucker's NPI number?

The NPI number for Candy Tucker is 1396408159. It was assigned to this individual provider in the NPPES registry on October 19, 2021.

Where is Candy Tucker located?

Candy Tucker practices at 315 Brady Mill Rd, Anna, IL 62906. The listed phone number is (618) 833-6343.

What is Candy Tucker's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gerontology, with taxonomy code 163WG0600X.

When was this NPI record last updated?

The NPPES record for Candy Tucker was last updated on October 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.