Individual
TRACY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGACNP-BC
Contact information
Practice address
4000 22ND PL STE 100, LUBBOCK, TX 79410-1120
(806) 725-7070
(806) 725-7071
Mailing address
PO BOX 1030, CHILDRESS, TX 79201-1030
(940) 937-6371
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
706101
TX
Other
Enumeration date
09/23/2014
Last updated
10/24/2018
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