Individual
TRACY LEIGH LADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7000
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-8700
(601) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850568
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09330877
—
MS
Enumeration date
01/24/2014
Last updated
09/23/2016
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