Southern, Tracy

Southern, Tracy is an individual health care provider with primary practice located at 1717 S Range Line Rd Ste B , Joplin MO 64804-3224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Southern, Tracy can be contacted via phone (417) 623-2207.

Contact Information

Primary practice address
1717 S Range Line Rd Ste B Joplin MO 64804-3224
Phone: (417) 623-2207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013023791 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 79397 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2017001675 Missouri

Profile Details

NPI number 1740726660
LBN Legal business name Southern, Tracy
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2017
Last updated Dec 8th, 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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