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

TRACIE LEDORA MITCHEM-GREEN, F.N.P

Active Sole Proprietor

TRACIE LEDORA MITCHEM-GREEN, F.N.P is a Primary Care Nurse Practitioner healthcare provider located in LAKE CITY, Florida. NPI 1942321575 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · LAKE CITY, FL

Registration Details

NPI Number
1942321575
Provider Type
Individual
Gender
Female
NPI Issued
Apr 2, 2007 (19.346045940063 yrs)
Last Updated
May 10, 2018
Licenses
2981 (SC)
9304575 (FL)
2981 (SC)
ARNP9304575 (FL)
342892 (NY)
Sole Proprietor
Yes

Practice Information

Address
295 NW COMMONS LOOP # 115-105
LAKE CITY, FL, 320557721
Browse FL providers · Browse ZIP 32055
Phone
8033817690
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Primary Care Nurse Practitioner Providers in LAKE CITY, FL

Name Credential NPI
MS. DONNA J CALDWELL ARNP 1861429839
MRS. ELIZABETH KATHRYN NEWMAN ARNP 1083736615
DR. RENE WALBERTO ZAMBRANA DNP, ARNP 1730630880
MARISOL ISABEL SANTAMARINA ARNP 1962954222
WILLIAM SEAY 1467951012
KEVIN KHOA NGUYEN NP 1386243830
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.