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Tracey M Fortner, FNP-BC
Family Nurse Practitioner in Loganville, Georgia
NPI 1487122065

Tracey M Fortner is a Family Nurse Practitioner based in Loganville, GA and is specialized in Family. Tracey M Fortner practices in Loganville, GA and has the professional credentials of FNP-BC. The NPI Number for Tracey M Fortner is 1487122065 and holds a License No. RN164997 (Georgia).

The current practice location address for Tracey M Fortner is 1103 Mason Lee Ave, Loganville, GA and can be reached out via phone at 678-315-7151.

Location: 1103 Mason Lee Ave, Loganville, GA, 30052-8635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487122065
Provider Name
Tracey M Fortner
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1103 Mason Lee Ave, Loganville, GA, 30052-8635
Phone Number
678-315-7151
Fax Number
Provider Enumeration Date
11/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1103 Mason Lee Ave
City
Loganville
State
Georgia
Zip
30052-8635
Phone Number
678-315-7151
Fax Number
person
Provider Business Mailing Address Details
Address
1103 Mason Lee Ave
City
Loganville
State
Georgia
Zip
30052-8635
Phone Number
678-315-7151
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN164997 (Georgia)
Definition
Definition to come...
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