Tracy George, RN
Registered Nurse in Clinton, LA. Individual provider (NPI-1).
NPI number1164052320
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1164052320
- Entity type
- Individual (NPI-1)
- Name
- Tracy George
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2020
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN104772 | LA | Yes |
Practice location
11990 Jackson StClinton, LA 70722-3210
Phone 225-683-5292 · Fax 225-683-1310
Mailing address
Po Box 395Clinton, LA 70722-0395
Phone 225-683-5292 · Fax 225-683-1310
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