Individual
TRACEY MARIE TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2200 MEDICAL CENTER BLVD STE 400, LAWRENCEVILLE, GA 30046-7769
(770) 962-0399
Mailing address
2200 MEDICAL CENTER BLVD STE 400, LAWRENCEVILLE, GA 30046-7769
(770) 962-0399
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN-NP160375
GA
Other
Enumeration date
08/13/2018
Last updated
12/27/2025
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