Tracie Allen, PA-C
Physician Assistant in Memphis, TN. Individual provider (NPI-1).
NPI number1174874861
StatusActive
Last updated in NPPESJul 18, 2018
Details
- NPI
- 1174874861
- Entity type
- Individual (NPI-1)
- Name
- Tracie Allen
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 21, 2012
- Last updated
- Jul 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 2417 | TN | Yes |
| 363A00000X | Physician Assistant | 085004390 | IL |
Other names
- Tracie Koebcke (Former Name)
Practice location
262 Danny Thomas PlMemphis, TN 38105
Phone 901-595-3300
Mailing address
262 Danny Thomas Pl # Ms 515Memphis, TN 38105-3678
Phone 901-595-3300
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