Individual
TRACIE WATKINS ABEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 922-6722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0000020417
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036232
—
TN
Enumeration date
03/15/2016
Last updated
03/14/2019
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