Individual
TRACEY L MAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
3964 GOODMAN RD E STE 128-129, SOUTHAVEN, MS 38672-8761
(662) 655-0456
(662) 655-0457
Mailing address
3964 GOODMAN RD E STE 128-129, SOUTHAVEN, MS 38672-8761
(662) 655-0456
(662) 655-0457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R868008
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030680
—
MS
Enumeration date
09/14/2009
Last updated
03/01/2023
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