Individual
MRS. TRACY RENEE PILGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
105 NATHAN ST, MARKED TREE, AR 72365
(870) 358-2036
(870) 358-4116
Mailing address
49 HIGHWAY 62 412, ASH FLAT, AR 72513-9594
(870) 358-2036
(870) 358-4116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01248
AR
Other
Enumeration date
12/29/2007
Last updated
03/16/2016
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