Tracie Ladell Aaron
Individual provider Active NPI Registered Nurse · Jacksonville, FL
NPI 1497369359 · NPPES record last updated Sep 8, 2020
Key facts
- NPI
- 1497369359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN9468495 (FL)
- Practice address
- 6824 Norwood Ave
Jacksonville, FL 32208-4471 - Phone
- (904) 710-7237
- NPI assigned
- Sep 8, 2020
- 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 |
|---|---|---|---|
| RN9468495 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9468495 | FL | Yes |
Addresses
Primary practice location
6824 Norwood Ave
Jacksonville, FL 32208-4471
Mailing address
1076 Moosehead Dr
Orange Park, FL 32065-5235
Phone (334) 235-2926
Other providers in Jacksonville, FL
- Aaa Transport Jax LLC
- Michael Alexander Aaro
- Aaron J West MD PA
- Joetta Aaron
- Nathaniel Aaron
- Patrick Aaronson
- ABA Brightwings LLC
- Abiedu Charles Abaaba
- Vera Utagah Abaaba
- Abednerys Abad Heredia
All providers in Jacksonville, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2020. 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.