Healthcare Provider Details

I. General information

NPI: 1013543354
Provider Name (Legal Business Name): TRACY MAURICE ABNEY DNP, PMHNP, ACNS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 CONTINENTAL PL STE 120
BRENTWOOD TN
37027-1086
US

IV. Provider business mailing address

1309 CONCORD MILL LN LOT 350
NASHVILLE TN
37211-8632
US

V. Phone/Fax

Practice location:
  • Phone: 615-488-3121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number16543
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number16543
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: