Individual
TRACY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
117 FAIRFIELD DR, NEW ALBANY, MS 38652-3107
(662) 534-0029
Mailing address
117 FAIRFIELD DR, NEW ALBANY, MS 38652-3107
(662) 534-0029
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904908
MS
Other
Enumeration date
10/04/2021
Last updated
11/07/2024
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