Individual provider · Type 1 NPI

Tracey Jeannette Moss, LPN

Licensed Practical Nurse · Fort Campbell, KY

NPI number 1295971786 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 798-8503 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X61790 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1295971786

Tracey Jeannette Moss, LPN's National Provider Identifier is 1295971786, issued on Jan 5, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Campbell, KY. The record was last updated on Jan 5, 2009.