Augusta, Tracie Lavette

Augusta, Tracie Lavette is an individual health care provider with primary practice located at 3960 New Covington Pike , Memphis TN 38128-2589. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Augusta, Tracie Lavette can be contacted via phone (901) 516-5200.

Contact Information

Primary practice address
3960 New Covington Pike Memphis TN 38128-2589
Phone: (901) 516-5200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 105300 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN12230 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X APN0000012230 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APN12230 Tennessee

Profile Details

NPI number 1669564845
LBN Legal business name Augusta, Tracie Lavette
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 20th, 2021 - 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 1669564845 NPPES
Tennessee MEDICAID 1527203

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