Individual provider · Type 1 NPI
Tracie Theresa Edwards, NP
Nurse Practitioner · Conyers, GA
Practice location
1412 Milstead Ave NE
Conyers, GA 30012-3877
Fax (770) 918-3104
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN288766 (GA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1104486711
Tracie Theresa Edwards, NP's National Provider Identifier is 1104486711, issued on Jun 17, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Conyers, GA. The record was last updated on Nov 1, 2019.