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NPI Code Detail

MEDICARE: MS. TRACI BROWN ABRAM

MEDICARE: MS. TRACI BROWN ABRAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner14236TN

General Provider Information

NPI Number : 1184959702
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACI BROWN ABRAM
Provider Business Mailing Address
First Line : PO BOX 746725
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6725
Country : US
Telephone Number : 312-733-9730
Fax Number : 773-866-8014
Provider Business Practice Location Address
First Line : 951 COURT AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38103-2813
Country : US
Telephone Number : 901-577-2826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2009
Last Update Date : 01/21/2026

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Directions to “ MS. TRACI BROWN ABRAM ” Practice Location

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