Individual
TRACILEE GRACE DYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7900 HIGHWAY 570, SUMMIT, MS 39666-7563
(601) 684-7771
(601) 465-0554
Mailing address
7900 HIGHWAY 570, SUMMIT, MS 39666-7563
(601) 684-7771
(601) 465-0554
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R189123
MS
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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