Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin B Tucker, PA-C

Individual provider Physician Assistant · NPI 1669717328

Justin B Tucker, PA-C is a Physician Assistant in Memphis, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6799 Great Oaks Rd Ste 100
Memphis, TN 38138-2571
Phone: (901) 751-0405
Fax: (901) 751-9694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4095 American Way, Memphis, TN 38118-8339 — (901) 271-9500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2280 (TN)

Record details

NPI number1669717328
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 6, 2012
Last updated in NPPESOctober 25, 2017

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