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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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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