Tracie Herrell, FNP
Individual provider Active NPI Family Nurse Practitioner · Harrogate, TN
NPI 1295281145 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1295281145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 21080 (TN)
- Practice address
- 159 Piccadilly Ave
Harrogate, TN 37752 - Phone
- (865) 368-8602
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21080 | TN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21080 | TN | Yes |
Addresses
Primary practice location
159 Piccadilly Ave
Harrogate, TN 37752
Mailing address
PO Box 501
Kodak, TN 37764-0501
Phone (865) 368-8602
Other providers in Harrogate, TN
- Cierra Nicole Hatfield-Partin
- Hearland Medical P C
- Heartland Pharmacy, LLC
- Sarah Hedayati
- Trinidad Hernandez Jr.
- Randi Michelle Johnson
- Alysse Jones
- Silver Kaylor
- Annalisa Hope Keating
- Caroline Kincaid
All providers in Harrogate, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.