MRS. TRACI BRACKIN FNP-BC NPI 1265771851

NPI Information

MRS. Traci Brackin, FNP-BC is a family nurse practitioner in Maryville, TN with 13 years of experience. MRS. Traci Brackin, FNP-BC NPI is 1265771851. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduation Year:2011

The provider's business location address is:

907 E LAMAR ALEXANDER PKWY
MARYVILLE, TN
ZIP 37804-015
Phone: (865) 980-4897
Fax: (865) 977-4796

The NPI 1265771851 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2013 and was last updated on 5/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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