Tracy T Aljabi, FNP
Nurse Practitioner, Family in Covington, LA. Individual provider (NPI-1).
NPI number1568092013
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1568092013
- Entity type
- Individual (NPI-1)
- Name
- Tracy T Aljabi
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2020
- Certification date
- Dec 9, 2020
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 903794 | MS | Yes |
| 363LC0200X | Nurse Practitioner, Critical Care Medicine | 211863 | LA | |
| 363LF0000X | Nurse Practitioner, Family | 211863 | LA |
Practice location
648 Crestwood Dr.Covington, LA 70433
Phone 504-228-0372
Mailing address
13 Shadowwood DrCarriere, MS 39426-8176
Phone 504-228-0372
Other practice locations
433 Plaza St Ste 3a
Bogalusa, LA 70427-3729
Bogalusa, LA 70427-3729
Phone 985-730-6970 · Fax 985-730-7269
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