Jennifer Tucker, MA, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1735824 Issued in MN

Practice address

8715 Ivywood Ave S
Cottage Grove, MN 55016-4728

Phone

(608) 792-3072

NPI assigned

Sep 11, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1356010409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 IVYWOOD AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 IVYWOOD AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164728",
            "telephone_number": "608-792-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JENNIFER",
        "credential": "MA, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-11",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1735824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristin Turner, LPCC
• Dahlia Uwimbabazi, PHARMD
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• Pakou Vang, PHARMD
• Patricia May Vanlandschoot, OTR/L

• Registered Nurse in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.