Provider Demographics
NPI:1851281455
Name:TUCKER, STEVEN FORREST JR
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:FORREST
Last Name:TUCKER
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6840 N 60TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2202
Mailing Address - Country:US
Mailing Address - Phone:531-210-5821
Mailing Address - Fax:
Practice Address - Street 1:6840 N 60TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-2202
Practice Address - Country:US
Practice Address - Phone:531-210-5821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker