Provider Demographics
NPI:1053619460
Name:EPPS, TRACY H (FNP)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:H
Last Name:EPPS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 NEAL ST
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-0901
Mailing Address - Country:US
Mailing Address - Phone:931-528-7797
Mailing Address - Fax:931-372-0098
Practice Address - Street 1:OCCUPATIONAL HEALTH CENTER
Practice Address - Street 2:315 N. WASHINGTON ; STE 190
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501
Practice Address - Country:US
Practice Address - Phone:931-526-1604
Practice Address - Fax:931-526-7378
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN6228363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily