MEDICARE: MS. TRACY DAWN COHEN FNP

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
1	363LF0000X	Family Nurse Practitioner	235206	AR

General Provider Information

NPI Number	:	1699636332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TRACY DAWN COHEN FNP

Provider Business Mailing Address
First Line	:	205 FOREST RDG
Second Line	:
City	:	POTEAU
State	:	OK
Zip	:	74953-7912
Country	:	US
Telephone Number	:	540-907-2517
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 CHAD COLLEY BLVD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72916-8437
Country	:	US
Telephone Number	:	423-426-3918
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	02/11/2026

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