Scott, Tracy A

Scott, Tracy A is an sole proprietor health care provider with primary practice located at 131 Hwy 309 S , Byhalia MS 38611-9633. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Scott, Tracy A can be contacted via phone (662) 838-5565.

Contact Information

Primary practice address
131 Hwy 309 S Byhalia MS 38611-9633
Phone: (662) 838-5565
Fax: (662) 838-4770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 902026 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 902026 Mississippi

Profile Details

NPI number 1760921696
LBN Legal business name Scott, Tracy A
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2017
Last updated Mar 16th, 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 1760921696 NPPES
Mississippi MEDICAID 005802361

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