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Tracie Ledora Mitchem-green, FNP
Primary Care Nurse Practitioner in Lake City, Florida
NPI 1942321575

Tracie Ledora Mitchem-green is a Primary Care Nurse Practitioner based in Lake City, FL and is specialized in Primary Care. Tracie Ledora Mitchem-green practices in Lake City, FL and has the professional credentials of FNP. The NPI Number for Tracie Ledora Mitchem-green is 1942321575 and holds a License No. 2981 (Florida).

The current practice location address for Tracie Ledora Mitchem-green is 295 Nw Commons Loop # 115-105, Lake City, FL and can be reached out via phone at 803-381-7690.

Location: 295 Nw Commons Loop # 115-105, Lake City, FL, 32055-7721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942321575
Provider Name
Tracie Ledora Mitchem-green
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
295 Nw Commons Loop # 115-105, Lake City, FL, 32055-7721
Phone Number
803-381-7690
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
295 Nw Commons Loop # 115-105
City
Lake City
State
Florida
Zip
32055-7721
Phone Number
803-381-7690
Fax Number
person
Provider Business Mailing Address Details
Address
295 Nw Commons Loop # 115-105
City
Lake City
State
Florida
Zip
32055-7721
Phone Number
803-381-7690
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2981 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9304575 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
2981 (South Carolina)
Definition
Definition to come...
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