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Individual

TRACEY JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1224 LEWIS STREET, GREENVILLE, MS 38701
(662) 609-4407
Mailing address
1224 LEWIS STREET, GREENVILLE, MS 38701
(662) 609-4407

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
801528816
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05605778
MS
Enumeration date
02/26/2021
Last updated
03/08/2021
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