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Tracy Southern, APRN
Family Nurse Practitioner in Joplin, Missouri
NPI 1740726660

Tracy Southern is a Family Nurse Practitioner based in Joplin, MO and is specialized in Family. Tracy Southern practices in Joplin, MO and has the professional credentials of APRN. The NPI Number for Tracy Southern is 1740726660 and holds a License No. 2013023791 (Missouri).

The current practice location address for Tracy Southern is 1717 S Range Line Rd Ste B, Joplin, MO and can be reached out via phone at 417-623-2207.

Location: 1717 S Range Line Rd Ste B, Joplin, MO, 64804-3224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740726660
Provider Name
Tracy Southern
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1717 S Range Line Rd Ste B, Joplin, MO, 64804-3224
Phone Number
417-623-2207
Fax Number
Provider Enumeration Date
01/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1717 S Range Line Rd Ste B
City
Joplin
State
Missouri
Zip
64804-3224
Phone Number
417-623-2207
Fax Number
person
Provider Business Mailing Address Details
Address
1717 S Range Line Rd Ste B
City
Joplin
State
Missouri
Zip
64804-3224
Phone Number
417-623-2207
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2013023791 (Missouri)
Definition
Definition to come...
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