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

Shavon Tucker

Individual provider Nurse's Aide · NPI 1356167316

Shavon Tucker is a Nurse's Aide in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

3314 W Oriole Dr
Milwaukee, WI 53209-4101
Phone: (414) 210-4110
Fax: (414) 446-5836
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 315877 (WI)

Record details

NPI number1356167316
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 25, 2024
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address4025 W Kiley Ave, Milwaukee, WI 53209-2238

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