Tracie Ledora Mitchem-Green in Lake City - Primary Care

Tracie Ledora Mitchem-Green - NPI 1942321575

Tracie Ledora Mitchem-Green is a Primary Care in Lake City, Florida. Tracie Ledora Mitchem-Green practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Tracie Ledora Mitchem-Green is 1942321575. The last update date is 2018-05-10.

Tracie Ledora Mitchem-Green's current location address is 295 Nw Commons Loop # 115-105, Lake City, Florida. You can contact this provider via phone number 8033817690. The mailing address for Tracie Ledora Mitchem-Green is 295 Nw Commons Loop # 115-105, Lake City, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracie Ledora Mitchem-Green
Address 295 Nw Commons Loop # 115-105, Lake City, Florida
Phone Number 8033817690
Fax Number
Sole Proprietor Y
Credentials F.N.P

NPI Number Detail

NPI Number 1942321575
Provider Enumeration Date 2007-04-02
Last Updated Date 2018-05-10

Provider Mailing Address Detail

Address 295 Nw Commons Loop # 115-105
City Lake City
State Florida (FL)
Post Code 320557721
Phone Number 8033817690
Fax Number

Provider's Primary Taxonomy Detail

Speciality Primary Care
Taxonomy 363Lp2300X
Licence No 2981
Definition:
An advanced practice registered nurse expert in comprehensive, first contact primary healthcare for patients of all ages.

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FAQs about Tracie Ledora Mitchem-Green

What is the unique identifier code issued to Tracie Ledora Mitchem-Green by the Centers for Medicare & Medicaid Services (CMS)?

The Tracie Ledora Mitchem-Green has been assigned the NPI (National Provider Identifier) 1942321575. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Tracie Ledora Mitchem-Green's facilities are geographically located?

The facilities of Tracie Ledora Mitchem-Green are physically situated at the following location: 295 Nw Commons Loop # 115-105, Lake City, FL, 320557721.

What is Tracie Ledora Mitchem-Green's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Tracie Ledora Mitchem-Green is Primary Care, and the corresponding taxonomy classification code for this specialized field is 363Lp2300X.

On what date did Tracie Ledora Mitchem-Green receive its 1942321575 assignment from the Centers for Medicare & Medicaid Services?

The Tracie Ledora Mitchem-Green was assigned its 1942321575 on 2007-04-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Tracie Ledora Mitchem-Green, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Tracie Ledora Mitchem-Green, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-05-10.

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