Individual
MRS. TRACI A COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
284 HIGHWAY 9 N, PONTOTOC, MS 38863-1536
(662) 296-2451
Mailing address
284 HIGHWAY 9 N, PONTOTOC, MS 38863-1536
(662) 296-2451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
860656
MS
363LA2200X
Adult Health Nurse Practitioner
R860656
MS
363LG0600X
Gerontology Nurse Practitioner
R860656
MS
Other
Enumeration date
05/30/2012
Last updated
10/19/2022
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