| Doctor Name: | TRACY H. EPPS |
| NPI Number: | 1053619460 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.N. |
| License Number: | APN6228 |
| Business Practice Address: | 1101 Neal St Cookeville, TN - 385010901 |
| Business Phone Number: | 9315287797 |
| Business Fax Number: | 9313720098 |
| Mailing Address: | 1101 Neal St, COOKEVILLE |
| State: | TN |
| Postal Code: | 385010901 |
| Phone Number: | 9315287797 |
| Fax Number: | 9313720098 |
| NPI Enumeration Date: | 03/09/2011 |
| NPI Last Update Date: | 03/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN6228 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |