Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon L Tucker, AGPCNP

Individual provider Registered Nurse · NPI 1386048023

Shannon L Tucker, AGPCNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices with Physician Groups Lc, a 524-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

3009 N Ballas Rd Ste 264C
Saint Louis, MO 63131-2322
Phone: (314) 996-7940
Fax: (314) 996-7945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2014036832 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2006019382 (MO)

Record details

NPI number1386048023
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedOctober 9, 2014
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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