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1235619206
TRACY ELLIS BURNS
SOUTHAVEN, MS
NPI
1235619206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 902868)
Enumeration Date
2018-08-18
Last Update Date
2019-04-23
Business Address
Ms. TRACY ELLIS BURNS PMHNP
5699 GETWELL RD BLDG H1
SOUTHAVEN, MS 38672-7311
Phone number: 662-510-8606
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Mailing Address
Ms. TRACY ELLIS BURNS PMHNP
6880 COBBLESTONE BLVD STE 2
SOUTHAVEN, MS 38672-9313
Phone number: 662-638-3757
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