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NPI Code Detail

MEDICARE: MS. TRACEY MACHELL HOOPER NP-C

MEDICARE:  MS. TRACEY MACHELL HOOPER  NP-C
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
1261QP2300XPrimary Care Clinic/Center19386TN
2363LP2300XPrimary Care Nurse Practitioner19386TN
3363LF0000XFamily Nurse Practitioner19386TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306242326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TRACEY MACHELL HOOPER NP-C
Provider Business Mailing Address
First Line : 124 MAIN ST
Second Line :
City : MC EWEN
State : TN
Zip : 37101-4590
Country : US
Telephone Number : 931-228-9040
Fax Number : 931-228-9041
Provider Business Practice Location Address
First Line : 124 MAIN ST
Second Line :
City : MC EWEN
State : TN
Zip : 37101-4590
Country : US
Telephone Number : 931-228-9040
Fax Number : 931-228-9041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2014
Last Update Date : 01/15/2025

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Directions to “ MS. TRACEY MACHELL HOOPER NP-C” Practice Location

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