NPI 1811422462

Traci D Bowen

Practitioner Home Health Aide Olive Branch, MS

Practice location

Address: 4600 Dupree Rd, Olive Branch, MS 38654-8680
Phone: (662) 772-6417

Registered specialties (4)

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1811422462
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2017
Record last updated: 20 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.