Tracy Leigh Ladner
Nurse Practitioner - Family Medicine
15200 Community Rd
Gulfport
, Mississippi 39503-3085
Tracy Leigh Ladner
Nurse Practitioner - Family Medicine
15200 Community Rd
Gulfport
, Mississippi 39503-3085
(601) 450-2493
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Tracy Leigh Ladner
- Po Box 1729
- Hattiesburg, MS
- Zip : 39403-1729
- Fax : (601) 450-2493
- Phone : (601) 545-8700
Second Address
- Tracy Leigh Ladner
- 15200 Community Rd
- Gulfport, MS
- Zip : 39503-3085
- Phone : (228) 575-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | R850568 | MS |
National Provider Identifier
| NPI | 1003239294 |
|---|---|
| Provider Name | Tracy Leigh Ladner |
| First Address | Hattiesburg, MS 39403-1729 |
| Second Address | Gulfport, MS 39503-3085 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2014 |
| Last Update Date | 23/09/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 09330877 | (05) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.