Individual
MR. TRACY A SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
131 HWY 309 S, BYHALIA, MS 38611-9633
(662) 838-5565
(662) 838-4770
Mailing address
131 HIGHWAY 309 SOUTH, BYHALIA, MS 38611-9633
(662) 838-5565
(662) 838-4770
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902026
MS
363LF0000X
Family Nurse Practitioner
902026
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005802361
—
MS
Enumeration date
02/13/2017
Last updated
03/16/2023
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