person
Tracy L Moss, FNP-C
Family Nurse Practitioner in Lebanon, Tennessee
NPI 1629221692

Tracy L Moss is a Family Nurse Practitioner based in Lebanon, TN and is specialized in Family. Tracy L Moss practices in Lebanon, TN and has the professional credentials of FNP-C. The NPI Number for Tracy L Moss is 1629221692 and holds a License No. 13753 (Tennessee).

The current practice location address for Tracy L Moss is 6650 Eastegate Blvd, Lebanon, TN and can be reached out via phone at 615-900-5451 and via fax at 615-900-5440.

Location: 6650 Eastegate Blvd, Lebanon, TN, 37087-2513
person
Provider Profile Details
NPI Number
1629221692
Provider Name
Tracy L Moss
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
6650 Eastegate Blvd, Lebanon, TN, 37087-2513
Phone Number
615-900-5451
Fax Number
615-900-5440
Provider Enumeration Date
11/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN120814 01 TN RN LICENSE
1511933 05 TN
2994253 01 TN UHC
4244349 01 TN BCBS
11931653 01 TN CAQH
3245563 01 TN CIGNA
APN13753 01 TN FNP LICENSE
institution
Provider Business Practice Location Address Details
Address
6650 Eastegate Blvd
City
State
Zip
37090-6018
Phone Number
615-900-5451
Fax Number
615-900-5440
person
Provider Business Mailing Address Details
Address
6650 Eastegate Blvd
City
State
Zip
37090-6018
Phone Number
615-900-5451
Fax Number
615-900-5440
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
13753 (Tennessee)
Definition
Definition to come...
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