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Individual
TRACY L MOSS
Active
Individual
TRACY L MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13753
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11931653
CAQH
TN
05
—
1511933
—
TN
01
—
2994253
UHC
TN
01
—
3245563
CIGNA
TN
01
—
4244349
BCBS
TN
01
—
APN13753
FNP LICENSE
TN
01
—
RN120814
RN LICENSE
TN
Enumeration date
11/03/2008
Last updated
05/27/2022
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