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Mrs. Tracey Lynn Mcdonough, LPN
Licensed Practical Nurse in Shalimar, Florida
NPI 1902085194

Tracey Lynn Mcdonough is a Licensed Practical Nurse based in Fort Walton Beach, FL. Tracey Lynn Mcdonough practices in Shalimar, FL and has the professional credentials of LPN. The NPI Number for Tracey Lynn Mcdonough is 1902085194 and holds a License No. PN5156934 (Florida).

The current practice location address for Tracey Lynn Mcdonough is 150 Richbourg Ave, Shalimar, FL and can be reached out via phone at 850-833-4301 and via fax at 850-833-4395.

Location: 150 Richbourg Ave, Shalimar, FL, 32548-5066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902085194
Provider Name
Tracey Lynn Mcdonough
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
150 Richbourg Ave, Shalimar, FL, 32548-5066
Phone Number
850-833-4301
Fax Number
850-833-4395
Provider Enumeration Date
10/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
150 Richbourg Ave
City
Shalimar
State
Florida
Zip
32579-1221
Phone Number
850-833-4301
Fax Number
850-833-4395
person
Provider Business Mailing Address Details
Address
150 Richbourg Ave
City
Shalimar
State
Florida
Zip
32579-1221
Phone Number
850-833-4301
Fax Number
850-833-4395
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN5156934 (Florida)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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