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Individual

TRACY ALISON ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP-BC

Contact information

Practice address
725 GLENWOOD DR STE E790, CHATTANOOGA, TN 37404-1178
(423) 206-4140
(423) 206-4141
Mailing address
725 GLENWOOD DR STE E790, CHATTANOOGA, TN 37404-1178
(423) 206-4140
(423) 206-4141

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
19933
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19933
APN LICENSE
TN
Enumeration date
07/30/2015
Last updated
04/08/2022
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