Ross, Tracy L

Ross, Tracy L is an individual health care provider with primary practice located at 1387 W 4Th St , Tahlequah OK 74464-9766. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Ross, Tracy L can be contacted via phone (918) 453-5554.

Contact Information

Primary practice address
1387 W 4Th St Tahlequah OK 74464-9766
Phone: (918) 453-5554
Fax: (918) 431-4112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A01450ANP Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 09035013 Oklahoma

Profile Details

NPI number 1083842520
LBN Legal business name Ross, Tracy L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2009
Last updated Jul 23rd, 2010 - about 15 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.

Request for update

Popular Providers