Mitchem-Green, Tracie Ledora
Mitchem-Green, Tracie Ledora is an sole proprietor health care provider with primary practice located at 295 Nw Commons Loop # 115-105 , Lake City FL 32055-7721. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Mitchem-Green, Tracie Ledora can be contacted via phone (803) 381-7690.Contact Information
Primary practice address
295 Nw Commons Loop # 115-105
Lake City FL 32055-7721
Phone: (803) 381-7690
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 2981 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9304575 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2981 | South Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | ARNP9304575 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 342892 | New York |
Profile Details
NPI number | 1942321575 |
---|---|
LBN Legal business name | Mitchem-Green, Tracie Ledora |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 2nd, 2007 |
Last updated | May 10th, 2018 - about 7 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.
Popular Providers
-
Martino, Nicholas
289 Sw Stonegate Ter Ste 103 , Lake City FL 32024-3457 -
Delbert, Stephanie
13 N Main Ave , Lake Placid FL 33852 -
Caldwell, Donna J
217 Ne Franklin St , Lake City FL 32055-2981 -
Parrish, Mary A
4551 W Us Highway 90 Ste 101 , Lake City FL 32055-8836 -
Perry, Danielle Marche
4551 W Us Highway 90 , Lake City FL 32055-8835 -
Chewning, Kelly Melinda
850 E Main St , Lake Butler FL 32054-1353 -
Craig, Monica L
404 Nw Hall Of Fame Dr , Lake City FL 32055-4833 -
Zambrana, Rene Walberto
751 Se Sycamore Ter , Lake City FL 32025-6216