Individual provider · Type 1 NPI

Tracey Lynn McDonough, LPN

Licensed Practical Nurse · Shalimar, FL

NPI number 1902085194 Active

Practice location

150 Richbourg Ave
Shalimar, FL 32579-1221

Fax (850) 833-4395

Mailing address

221 Hospital Dr NE
Fort Walton Beach, FL 32548-5066

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5156934 (FL)

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 1902085194

Tracey Lynn McDonough, LPN's National Provider Identifier is 1902085194, issued on Oct 24, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Shalimar, FL. The record was last updated on Oct 24, 2007.