White, Tracey Anne

White, Tracey Anne is an individual health care provider with primary practice located at 23D Medical Group 3278 Mitchell Blvd , Moody Afb GA 31699-1500. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Obstetric, Inpatient, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. White, Tracey Anne can be contacted via phone (229) 257-1459.

Contact Information

Primary practice address
23D Medical Group 3278 Mitchell Blvd Moody Afb GA 31699-1500
Phone: (229) 257-1459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Obstetric, Inpatient 163WX0003X 447542 New York
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 421094 New York

Profile Details

NPI number 1750657680
LBN Legal business name White, Tracey Anne
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated May 1st, 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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