DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TRACY R. ENNIS, PA-C

Active

MS. TRACY R. ENNIS, PA-C is a Dermatology healthcare provider located in NAPLES, Florida. NPI 1003121609 is currently active in the NPPES registry. Verify at CMS.

Dermatology · NAPLES, FL

Registration Details

NPI Number
1003121609
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2010 (16.01471297114 yrs)
Last Updated
Apr 24, 2023
Licenses
PA 06798 (TX)
PA9108883 (FL)
PA9108883 (FL)

Practice Information

Address
2235 VENETIAN COURT
SUITE 1
NAPLES, FL, 341098728
Browse FL providers · Browse ZIP 34109
Phone
2395969337
Fax
2395969466
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Physician Assistant
Additional Specialty
Dermatology

Other Dermatology Providers in NAPLES, FL

Name Credential NPI
DR. SCOTT ALAN ROSS MD 1205829447
DR. DEBRA L BAILEY M.D. 1285622852
DR. STEPHAN LEVITT M.D. 1164413134
DR. PATRICE C CASE MD 1194708834
MA KATRINA DY M.D. 1598743601
SHARON CHRISTINA JACKSON M.D. 1407820764
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.