Individual
TRACEY HAWKINS MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
309 WALNUT ST STE C, AMITE, LA 70422-2055
(985) 284-2454
(985) 284-2516
Mailing address
309 WALNUT ST STE C, AMITE, LA 70422-2055
(985) 284-2454
(985) 284-2516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221135
LA
Other
Enumeration date
09/26/2021
Last updated
01/30/2023
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