Tucker Lee Brady, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Brookhaven, MS

NPI

1679107692

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

903771 (MS)

Sex

Male

Sole proprietor

No

Enumerated

2020-02-28

Last updated

2025-01-09