Provider Demographics
NPI:1316548530
Name:TINCKER, NORMA JEAN (RN)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:JEAN
Last Name:TINCKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 MEADOW ST FRNT
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-4340
Mailing Address - Country:US
Mailing Address - Phone:508-663-6930
Mailing Address - Fax:
Practice Address - Street 1:19 HAMPSON ST
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-7816
Practice Address - Country:US
Practice Address - Phone:508-663-6930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA194735163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health