Most Relevant Information
Provider Data
| NPI Number: | 1003200528 |
| Provider Name: | KRISTI E TUCKER FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 752200 |
Most Important Dates
| Enumeration Date: | 03/23/2015 |
| Last Updated: | 04/09/2021 |
Provider Practice Location
801 7TH AVE
FORT WORTH
TX
761042733
Practice Location Phone/Fax
| Phone: | 6828851475 |
| Fax: | 6828857520 |
Provider Mailing Location
PO BOX 733784
DALLAS
TX
753733784
Provider Mailing Phone/Fax
| Phone: | 6828851860 |
| Fax: | 6828851396 |