National Provider Identifier

Nicole Tucker, RPAC

Nicole Tucker, RPAC is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 368-4005.

NPI 1346277282Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1346277282
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
June 27, 2006
Last Updated
May 21, 2021

Practice Location

  • 2655 Ridgeway Ave Ste 180
  • Rochester, NY 14626-4296

Phone: (585) 368-4005

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Medical Physician Assistant (363AM0700X)

Endpoints

  • ntucker195342@direct.rochesterregional.org

    Direct Messaging Address | Rochester, NY 14626

Full Record
NPI
1346277282
Entity Type
Individual
Last Name
Tucker
First Name
Nicole
Credential
RPAC
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 368-4005
Mailing Fax
(585) 225-2685
Practice Street Address
2655 Ridgeway Ave Ste 180
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4296
Practice Country
US
Practice Phone
(585) 368-4005
Practice Fax
(585) 225-2685
Enumeration Date
June 27, 2006
Last Updated
May 21, 2021
Sex
Female
Sole Proprietor
No
Certification Date
May 21, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)
Other Identifiers
02507317 (NY)