Most Relevant Information
Provider Data
| NPI Number: | 1003586496 |
| Provider Name: | TRACY JEVON NELSON FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1-124139 |
Most Important Dates
| Enumeration Date: | 09/16/2021 |
| Last Updated: | 01/18/2024 |
Provider Practice Location
450 SAINT EMANUEL ST
MOBILE
AL
366032240
Practice Location Phone/Fax
| Phone: | 2515742296 |
| Fax: |
Provider Mailing Location
1159 SPRING HILL AVE
MOBILE
AL
366042725
Provider Mailing Phone/Fax
| Phone: | 2514324188 |
| Fax: |