Provider Demographics
NPI:1871016451
Name:TUCKER, LINDSAY (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:TUCKER
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8316 101ST AVE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32967-2867
Mailing Address - Country:US
Mailing Address - Phone:541-321-3732
Mailing Address - Fax:
Practice Address - Street 1:8316 101ST AVE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32967-2867
Practice Address - Country:US
Practice Address - Phone:541-321-3732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9491005363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN9491005OtherFL NP LICENSE
FLRN9491005OtherFL RN LICENSE
OR201705416NPOtherFNP LICENSE