Doctor Name: | MRS. TRACI A COX |
NPI Number: | 1235490897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R860656 |
Business Practice Address: | 284 Highway 9 N Pontotoc, MS - 388631536 |
Business Phone Number: | 6622962451 |
Business Fax Number: | |
Mailing Address: | 284 Highway 9 N, PONTOTOC |
State: | MS |
Postal Code: | 388631536 |
Phone Number: | 6622962451 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2012 |
NPI Last Update Date: | 03/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R860656 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |