Individual
TRACY JOY EDWARDS
Active
Individual
TRACY JOY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
RN963123
DC
363LF0000X
Family Nurse Practitioner
Primary
RN963123
DC
Other
Enumeration date
07/01/2006
Last updated
10/13/2011
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