Individual
TRACI WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
18540 HIGHWAY 57, VANCLEAVE, MS 39565-6420
(228) 324-5347
Mailing address
18540 HIGHWAY 57, VANCLEAVE, MS 39565-6420
(228) 324-5347
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901918
MS
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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