JERRY DEWAYNE TUCKER
NPI 1407998404
Specialist/Technologist, Pathology - Medical Technologist in Camp Lejeune, NC

Q: What is Jerry Tucker's NPI number?

The NPI number for Jerry Tucker is 1407998404. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Q: What is Jerry Tucker's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Tucker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 13, 2007

US COAST GUARD SPECIAL MISSIONS TRAINING CENTER, BB-11 COURTHOUSE BAY, CAMP LEJEUNE, NC 28542(910) 376-0773(910) 450-7040 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jerry Dewayne Tucker NPPES

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

JERRY DEWAYNE TUCKER (NPI 1407998404) is an individual medical technologist in Camp Lejeune, North Carolina and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1407998404

Entity TypeIndividualMale

Primary Taxonomy246QM0706X

Provider Legal NameJERRY DEWAYNE TUCKER

Location AddressUS COAST GUARD SPECIAL MISSIONS TRAINING CENTER, BB-11 COURTHOUSE BAYCamp Lejeune, NC 28542

Mailing AddressUs Coast Guard Special Missions Training Center, Bb-11 Courthouse BayCamp Lejeune, NC 28542 · (910) 376-0773 · Fax (910) 450-7040

Phone(910) 376-0773

Fax(910) 450-7040

Sole ProprietorNo

Enumeration DateFebruary 13, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407998404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Medical TechnologistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246QM0706X

US COAST GUARD SPECIAL MISSIONS TRAINING CENTER, Camp Lejeune, NC 28542

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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 Jerry Tucker's NPI number?

The NPI number for Jerry Tucker is 1407998404. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Jerry Tucker located?

Jerry Tucker practices at Us Coast Guard Special Missions Training Center Bb-11 Courthouse Bay, Camp Lejeune, NC 28542. The listed phone number is (910) 376-0773.

What is Jerry Tucker's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

When was this NPI record last updated?

The NPPES record for Jerry Tucker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.