Bennett, Tracy Lynn

Bennett, Tracy Lynn is an individual health care provider with primary practice located at 3281 Kessock Ridge Trl , Snellville GA 30039-3112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bennett, Tracy Lynn can be contacted via phone (678) 986-3315.

Contact Information

Primary practice address
3281 Kessock Ridge Trl Snellville GA 30039-3112
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN146400 Georgia

Profile Details

NPI number 1811379332
LBN Legal business name Bennett, Tracy Lynn
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2015
Last updated Jun 20th, 2015 - about 9 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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