Larue, Tracy E

Larue, Tracy E is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Larue, Tracy E can be contacted via phone (601) 815-7994.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-7994
Fax: (601) 815-1722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R850873 Mississippi

Profile Details

NPI number 1922334283
LBN Legal business name Larue, Tracy E
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2009
Last updated Oct 21st, 2009 - 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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