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General NPI Number Information
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NPI Number | 1114841574
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Entity Type | Individual
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Provider Name | TRACY ANN VERNON PNP
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 6940 HIGHWAY 17
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City | DELHI
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State | LA
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Zip | 71232-7021
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Country | US
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Telephone | 318-878-5717
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Fax | 318-878-5750
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Provider Business Mailing Address
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Address Line | 501 BROADWAY ST
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City | DELHI
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State | LA
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Zip | 71232-3001
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Country | US
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Telephone | 318-878-6650
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Fax | 318-878-6321
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 210622
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License Number State | LA
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