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Traci Davis Suber, WHNP
Women's Health Nurse Practitioner in Hattiesburg, Mississippi
NPI 1962628966

Traci Davis Suber is a Women's Health Nurse Practitioner based in Hattiesburg, MS and is specialized in Women's Health. Traci Davis Suber practices in Hattiesburg, MS and has the professional credentials of WHNP. The NPI Number for Traci Davis Suber is 1962628966 and holds a License No. 814179 (Mississippi).

The current practice location address for Traci Davis Suber is 421 S 28Th Ave Ste 200, Hattiesburg, MS and can be reached out via phone at 601-268-5640 and via fax at 601-579-5240. You can also correspond with Traci Davis Suber through the mailing address at 415 S 28TH AVE, HATTIESBURG, MS - 39401-7246 (mailing address contact number: 601-268-5640).

Location: 421 S 28Th Ave Ste 200, Hattiesburg, MS, 39401-7246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962628966
Provider Name
Traci Davis Suber
Credential
WHNP
Provider Entity Type
Individual
Gender
Female
Address
421 S 28Th Ave Ste 200, Hattiesburg, MS, 39401-7246
Phone Number
601-268-5640
Fax Number
601-579-5240
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00118984 05 MS
12181303 01 MS CAQH ID #
2285175 01 MS UNITED HEALTHCARE
7059463 01 MS AETNA
institution
Provider Business Practice Location Address Details
Address
421 S 28Th Ave Ste 200
City
Hattiesburg
State
Mississippi
Zip
39401-7208
Phone Number
601-268-5640
Fax Number
601-579-5240
person
Provider Business Mailing Address Details
Address
421 S 28Th Ave Ste 200
City
Hattiesburg
State
Mississippi
Zip
39401-7208
Phone Number
601-268-5640
Fax Number
601-579-5240
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
R814179 (Mississippi)
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
Women's Health
Taxonomy
363LW0102X
License No.
814179 (Mississippi)
Definition
Definition to come...
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