Mays, Tracey L

Mays, Tracey L is an individual health care provider with primary practice located at 3964 Goodman Rd E Ste 128-129 , Southaven MS 38672-8761. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mays, Tracey L can be contacted via phone (662) 655-0456.

Contact Information

Primary practice address
3964 Goodman Rd E Ste 128-129 Southaven MS 38672-8761
Phone: (662) 655-0456
Fax: (662) 655-0457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R868008 Mississippi

Profile Details

NPI number 1780917443
LBN Legal business name Mays, Tracey L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2009
Last updated Mar 1st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780917443 NPPES
Mississippi MEDICAID 000030680

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