Moss, Tracy L

Moss, Tracy L is an individual health care provider with primary practice located at 6650 Eastegate Blvd #104, Lebanon TN 37090-6018. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moss, Tracy L can be contacted via phone (615) 900-5451.

Contact Information

Primary practice address
6650 Eastegate Blvd #104 Lebanon TN 37090-6018
Phone: (615) 900-5451
Fax: (615) 900-5440
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13753 Tennessee

Profile Details

NPI number 1629221692
LBN Legal business name Moss, Tracy L
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated May 27th, 2022 - about 4 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 1629221692 NPPES
Tennessee Other RN120814 RN LICENSE
Tennessee MEDICAID 1511933 RN LICENSE
Tennessee Other 2994253 RN LICENSE
Tennessee Other 4244349 RN LICENSE
Tennessee Other 11931653 RN LICENSE
Tennessee Other 3245563 RN LICENSE
Tennessee Other APN13753 RN LICENSE

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