Provider Demographics
NPI:1922666148
Name:PARSONS, TRACY DENISE
Entity Type:Individual
Prefix:
First Name:TRACY
Middle Name:DENISE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 HIGHWAY 80 E APT B7
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-5361
Mailing Address - Country:US
Mailing Address - Phone:901-238-1730
Mailing Address - Fax:
Practice Address - Street 1:1501 HIGHWAY 80 E APT B7
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MS
Practice Address - Zip Code:39056-5361
Practice Address - Country:US
Practice Address - Phone:901-238-1730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health