Provider Demographics
NPI:1356114847
Name:TUCKER, APRIL NOELLE
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:NOELLE
Last Name:TUCKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 OLIVER DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-3696
Mailing Address - Country:US
Mailing Address - Phone:484-343-5333
Mailing Address - Fax:
Practice Address - Street 1:227 OLIVER DR
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-3696
Practice Address - Country:US
Practice Address - Phone:484-343-5333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0139000301170300000X
GA284170300000X
LA324352170300000X
NJ25MJ00068700170300000X
PAGC000554170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS