Delores Rae Tucker, RN, APRN, GCNS-BC

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

RN068567 Issued in GA

Practice address

1266 Highway 515 S
Ims Hospitalists Dee Tucker
Jasper, GA 30143-4872

Phone

(404) 323-8682

NPI assigned

Feb 7, 2012

Last updated

Feb 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1902178957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 HIGHWAY 515 S",
            "address_2": "IMS HOSPITALISTS DEE TUCKER",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434872",
            "telephone_number": "404-323-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 HIGHWAY 515 S",
            "address_2": "IMS HOSPITALISTS DEE TUCKER",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434872",
            "telephone_number": "404-323-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DELORES",
        "middle_name": "RAE",
        "credential": "RN, APRN, GCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "GA",
            "license": "RN068567",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "GA",
            "license": "RN068567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke B. Teal, PA-C
• The Aicher Clinic, LLC
• The Kroger Co (Kroger Pharmacy)
• Keri Todd, P.T.
• Trilogy Integrated Health Care, Inc. of Georgia (Jasper Family Health and Urgent Care Clinic)
• Nicole Noreen Tucker, FNP-C
• Tymax Care,LLC
• Stephanie E. Tyson, NP-C
• United Family Therapy, LLC
• United Rehab Inc (United Rehab of Jasper)

• Adult Health Clinical Nurse Specialist in Jasper, GA
• Providers in Jasper, GA by specialty
• Adult Health Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.