Individual
MS. TRACY ELLIS BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5699 GETWELL RD BLDG H1, SOUTHAVEN, MS 38672-7311
(662) 510-8606
Mailing address
6880 COBBLESTONE BLVD, STE 2, SOUTHAVEN, MS 38672-9313
(662) 638-3757
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
902868
MS
Other
Enumeration date
08/18/2018
Last updated
04/23/2019
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