NICOLLE RENEE TUCKER LPN
NPI 1700558707
Licensed Practical Nurse in Johnson City, NY

Q: What is Nicolle Tucker's NPI number?

The NPI number for Nicolle Tucker is 1700558707. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Q: What is Nicolle Tucker's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicolle Tucker was last updated on September 29, 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.

Active since September 29, 2021

40 FREDERICK ST, JOHNSON CITY, NY 13790(607) 239-0434 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicolle Renee Tucker Lpn NPPES

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

NICOLLE RENEE TUCKER LPN (NPI 1700558707) is an individual licensed practical nurse in Johnson City, New York, licensed in New York (326016) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1700558707

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameNICOLLE RENEE TUCKERCredential: LPN

Location Address40 FREDERICK STJohnson City, NY 13790-1804

Mailing Address40 Frederick StJohnson City, NY 13790-1804 · (607) 239-0434

Phone(607) 239-0434

Sole ProprietorYes

Enumeration DateSeptember 29, 2021

NPPES CertifiedSeptember 29, 2021

✔ NPI 1700558707 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 NY · 326016

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.

40 FREDERICK ST, Johnson City, NY 13790

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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 Nicolle Tucker's NPI number?

The NPI number for Nicolle Tucker is 1700558707. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Nicolle Tucker located?

Nicolle Tucker practices at 40 Frederick St, Johnson City, NY 13790. The listed phone number is (607) 239-0434.

What is Nicolle Tucker's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Nicolle Tucker was last updated on September 29, 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.