Nikita Deryabin Tucker
Nikita Deryabin Tucker is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.
- Licensed in
- NC
- In the registry since
- 2024
Practice location Address checks out
Psc Box 20183Camp Lejeune, NC 28542-0183
Phone: (910) 440-7704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X · Licence 12222246ND (NC) |
|---|
Record details
| NPI number | 1619704152 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 18, 2024 |
| Last updated in NPPES | September 18, 2024 |
| Certification date | September 12, 2024 |
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