Tracy Ann Derr, LPN
Licensed Practical Nurse in Hixson, TN. Individual provider (NPI-1).
NPI number1154550101
StatusActive
Last updated in NPPESJul 13, 2009
Details
- NPI
- 1154550101
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tracy Ann Derr
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2009
- Last updated
- Jul 13, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 0000066774 | TN | Yes |
Other names
- Tracy Ann Derr (Professional Name)
Practice location
1238 Gadd Rd.Hixson, TN 37343
Phone 423-875-4806 · Fax 423-874-0094
Mailing address
1238 Gadd RdHixson, TN 37343-3917
Phone 423-875-4806 · Fax 423-874-0094
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.