TRACY E LARUE

JACKSON, MS
NPI1922334283
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MS  R850873)
Enumeration Date2009-10-21
Last Update Date2009-10-21
Business Address
-- TRACY E LARUE ACNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-7994
Mailing Address
-- TRACY E LARUE ACNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-7994