Mullins, Tracey

Mullins, Tracey is an individual health care provider with primary practice located at 1401 River Rd , Greenwood MS 38930-4030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mullins, Tracey can be contacted via phone (662) 459-7000.

Contact Information

Primary practice address
1401 River Rd Greenwood MS 38930-4030
Phone: (662) 459-7000
Fax: (662) 459-1147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R681857 Mississippi

Profile Details

NPI number 1487613774
LBN Legal business name Mullins, Tracey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 25th, 2011 - about 15 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 1487613774 NPPES
Mississippi MEDICAID 00118843

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