# TRACIE LEDORA MITCHEM-GREEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1942321575
- **Gender:** F
- **Credential:** F.N.P

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 2981 | SC | — |
| 363LF0000X | Family Nurse Practitioner | 9304575 | FL | — |
| 363LP2300X | Primary Care Nurse Practitioner | 2981 | SC | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | 342892 | NY | — |
| 363LP2300X | Primary Care Nurse Practitioner | ARNP9304575 | FL | — |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 05/10/2018