Individual provider · Type 1 NPI

Tracy E. Larue, ACNP

Acute Care Nurse Practitioner · Jackson, MS

NPI number 1922334283 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Fax (601) 815-1722

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XR850873 (MS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1922334283

Tracy E. Larue, ACNP's National Provider Identifier is 1922334283, issued on Oct 21, 2009. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, MS. The record was last updated on Oct 21, 2009.