TRACY LEE LAMB APRN NPI 1619281870

NPI Information

  • NPI: 1619281870
  • Provider Name: TRACY LEE LAMB, APRN
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4268 OLDFIELD CROSSING DR STE 201
    JACKSONVILLE, FL
    ZIP 32223
  • Phone: (904) 634-0640

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NPI Details

Tracy Lee Lamb, APRN is an adult health nurse practitioner in Jacksonville, FL with 11 years of experience. Tracy Lee Lamb, APRN NPI is 1619281870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4268 OLDFIELD CROSSING DR STE 201
JACKSONVILLE, FL
ZIP 32223-800
Phone: (904) 634-0640
Fax: (904) 634-0203

The NPI 1619281870 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 7/29/2010 and was last updated on 7/28/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthR129053MARYLANDNo
2363LA2200XNurse PractitionerAdult HealthLB-0000234DELAWARENo
3363LA2200XNurse PractitionerAdult HealthAPRN11036863FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1126243300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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