Tracy Leigh Ladner, C.F.N.P
Nurse Practitioner, Family in Gulfport, MS. Individual provider (NPI-1).
NPI number1003239294
StatusActive
Last updated in NPPESSep 23, 2016
Details
- NPI
- 1003239294
- Entity type
- Individual (NPI-1)
- Name
- Tracy Leigh Ladner
- Credential
- C.F.N.P
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2014
- Last updated
- Sep 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R850568 | MS | Yes |
Practice location
15200 Community RdGulfport, MS 39503-3085
Phone 228-575-7000
Mailing address
Po Box 1729Hattiesburg, MS 39403-1729
Phone 601-545-8700 · Fax 601-450-2493
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