Individual provider · Type 1 NPI
Tracey Goldman
Family Nurse Practitioner · Yazoo, MS
NPI number
1336688050
Active
Practice location
2225 Haley Barbour Parkway
Yazoo, MS 39204
Mailing address
2125 Scanlon Drive
Jackson, MS 39204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 901381 (MS) |
Family Nurse Practitioner: Definition to come...
About NPI 1336688050
Tracey Goldman's National Provider Identifier is 1336688050, issued on Feb 14, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Yazoo, MS. The record was last updated on Jan 11, 2019.