Traci Cameron NP

NPI 1053635391 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1053635391
Gender Female
Enumeration Date 03/16/2010
Last Updated 06/03/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
203 NACOGDOCHES ST
SUITE 280
JACKSONVILLE TX, 75766-2462, US
Phone (903) 541-5455
Fax (903) 541-5456
Business Location
901 TURTLE CREEK DR
TYLER TX, 75701-1947, US
Phone (903) 596-3588
Fax (903) 594-2038
Toxanomy
Taxonomy Code 363L00000X
License State Texas
License Number 712611
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According to our database, Mrs. Traci Cameron NP NPI is 1053635391, taxonomy code is 363L00000X and license number is 712611, license state is located at Texas. Traci Cameron NP physically located at 203 Nacogdoches St, Jacksonville TX, 75766-2462. NPI Number Traci Cameron NP has the Individual type.

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1053635391 NPI number is provided on an as is basis without warranty of any kind. 1053635391 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Cameron NP are for informational purposes only.