Traci Davis Suber WHNP

NPI 1962628966 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1962628966
Gender Female
Enumeration Date 04/18/2007
Last Updated 10/20/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
HATTIESBURG MS, 39401-8382, US
Phone (601) 544-4550
Fax (601) 582-3373
Business Location
PO BOX 1729
HATTIESBURG MS, 39403-1729, US
Phone (601) 545-3700
Fax (601) 450-2493
Taxonomy Code 363LW0102X
License State Mississippi
License Number R814179
Remove 1962628966 NPI Number

According to our database, Traci Davis Suber WHNP NPI is 1962628966, taxonomy code is 363LW0102X and license number is R814179, license state is located at Mississippi. Traci Davis Suber WHNP physically located at 62 Old Airport Rd, Hattiesburg MS, 39401-8382. NPI Number Traci Davis Suber WHNP has the Individual type.

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1962628966 NPI number is provided on an as is basis without warranty of any kind. 1962628966 is maintained by the National Plan & Provider Enumeration System. The contents of Traci Davis Suber WHNP are for informational purposes only.