Individual
TRACIE GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
147 REYNOIR ST, SUITE 101, BILOXI, MS 39530-4109
(228) 436-1181
Mailing address
147 REYNOIR ST, SUITE 101, BILOXI, MS 39530-4109
(228) 436-1181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R809052
MS
363LF0000X
Family Nurse Practitioner
Primary
R809052
MS
Other
Enumeration date
08/12/2006
Last updated
12/01/2016
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