Search › Florida › 363LP2300X
Tracie Mitchem-Green, F.N.P
NPI 1942321575 · on the registry since 2007 · sole proprietor
Practice
- Address
- 295 Nw Commons Loop # 115-105
Lake City, FL 32055 - Phone
- (803) 381-7690
Registry record
- Primary taxonomy
- 363LP2300X
363LP2300X
- Also registered as
- 363LF0000X
363L00000X
363LP2300X
363LP2300X - Licence states on file
- SC, FL, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida