Most Relevant Information
Provider Data
| NPI Number: | 1003239294 |
| Provider Name: | TRACY LEIGH LADNER C.F.N.P |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R850568 |
Most Important Dates
| Enumeration Date: | 01/24/2014 |
| Last Updated: | 09/23/2016 |
Provider Practice Location
15200 COMMUNITY RD
GULFPORT
MS
395033085
Practice Location Phone/Fax
| Phone: | 2285757000 |
| Fax: |
Provider Mailing Location
PO BOX 1729
HATTIESBURG
MS
394031729
Provider Mailing Phone/Fax
| Phone: | 6015458700 |
| Fax: | 6014502493 |