Jones, Tracy Kathleen

Jones, Tracy Kathleen is an individual health care provider with primary practice located at 6043 Prestley Mill Rd Suite D, Douglasville GA 30134. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jones, Tracy Kathleen can be contacted via phone (770) 739-9555.

Contact Information

Primary practice address
6043 Prestley Mill Rd Suite D Douglasville GA 30134
Phone: (770) 739-9555
Fax: (678) 741-2301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN112762 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN112762 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0340729 22 Georgia

Profile Details

NPI number 1801858527
LBN Legal business name Jones, Tracy Kathleen
Credentials FNP.C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 29th, 2008 - about 16 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 1801858527 NPPES
Georgia MEDICAID 300035305B
Georgia Other 50BBDWC
Georgia MEDICAID 651375375A
Georgia Other CEP12680
Georgia MEDICAID 000902327A

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