MRS. BEVERLY ANNE TUCKER LPN, LMT
NPI 1972745669
Licensed Practical Nurse in Lake City, FL

Active since March 27, 2009
520 SW BEAUFORD PL, LAKE CITY, FL 32024(386) 752-3332(386) 752-3332 Get Directions Write a Review

NPPES record last updated: March 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Beverly Anne Tucker Lpn, Lmt NPPES

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

MRS. BEVERLY ANNE TUCKER LPN, LMT (NPI 1972745669) is an individual licensed practical nurse in Lake City, Florida, licensed in Florida (PN 5175827) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1972745669
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. BEVERLY ANNE TUCKERCredential: LPN, LMT
Location Address520 SW BEAUFORD PLLake City, FL 32024-5244
Mailing Address520 Sw Beauford PlLake City, FL 32024-5244 · (386) 752-3332 · Fax (386) 752-3332
Fax(386) 752-3332
Sole ProprietorYes
Enumeration DateMarch 27, 2009
NPI 1972745669 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 FL · PN 5175827
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.
520 SW BEAUFORD PL, Lake City, FL 32024

Other Identifiers 1

OtherPN 5175827State License Board

Other Providers at the Same Location NPPES

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

Registered Nurse (Emergency)
520 SW BEAUFORD PL
LAKE CITY, FL 32024

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 Beverly Tucker's NPI number?

The NPI number for Beverly Tucker is 1972745669. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Beverly Tucker located?

Beverly Tucker practices at 520 SW Beauford Pl, Lake City, FL 32024. The listed phone number is (386) 752-3332.

What is Beverly 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 Beverly Tucker was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.