JERRY D. TUCKER – NPI #1407998404
Specialist/Technologist, Pathology
JERRY TUCKER is a technologist located in CAMP LEJEUNE, NC. NPPES has assigned the NPI number 1407998404 to JERRY TUCKER on February 13, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 246QM0706X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Pathology, specializing in Medical Technologist
The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JERRY TUCKER below.
NPI Profile for
JERRY D. TUCKER
(more than 19 years ago)
BB-11 COURTHOUSE BAY
CAMP LEJEUNE, NC 28542 Phone: (910) 376-0773 Fax: (910) 450-7040
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 246QM0706X - Specialist/Technologist, Pathology / Medical Technologist (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.