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Individual
TRACIE L DAVIS
Active
Individual
TRACIE L DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014807A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300088330
—
IN
05
—
7100963670
—
KY
Enumeration date
12/28/2023
Last updated
11/06/2025
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