# TRACY KATHLEEN JONES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801858527
- **Gender:** F
- **Credential:** FNP.C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN112762 | GA | — |
| 363L00000X | Nurse Practitioner | RN112762 | GA | Yes |
| 363LF0000X | Family Nurse Practitioner | 0340729 22 | GA | — |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 07/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000902327A | — | GA |
| 05 | — | 300035305B | — | GA |
| 01 | — | 50BBDWC | MEDICARE | — |
| 05 | — | 651375375A | — | GA |
| 01 | — | CEP12680 | RN PROVIDER ID | — |