TRACY ROSEBERRY


Address: 5003 Hardy St, Suite 350, Hattiesburg, MS 39402-1319
Phone: 6012689393

TRACY ROSEBERRY (NPI# 1083691489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083691489
Entity Type Individual
Full Name TRACY ROSEBERRY
Credential WHNP
Practice Address 5003 Hardy St
Suite 350
Hattiesburg
MS 39402-1319
Mailing Address 6524 U S Highway 98
Hattiesburg
MS 39402-8569
Practice Telephone 6012689393
Practice Fax Number 6012689393
Mailing Telephone 6012689393
Mailing Fax Number 6012689393
Enumeration Date 2005-12-27
Last Update Date 2015-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
R717789 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 00118112 05

Office Location

Street Address 5003 HARDY ST
SUITE 350
City HATTIESBURG
State MS
Zip Code 39402-1319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679576458 Claire C Morgan Pediatrics 5003 Hardy St, Hattiesburg, MS 39402-1319 2005-05-24
1295288033 Jill Nicholas Nurse Practitioner 5003 Hardy St, Hattiesburg, MS 39402-1319 2016-07-28
1548640642 Womens Pavilion of South Mississippi Pllc Clinic/Center 5003 Hardy St, Suite 350, Hattiesburg, MS 39402-1319 2015-06-03
1760882815 Womens Pavilion of South Mississippi Pllc Obstetrics & Gynecology 5003 Hardy St, Suite 300, Hattiesburg, MS 39402-1319 2014-08-26
1750667002 Premier Orthopaedics & Sports Medicine, Pllc Orthopaedic Surgery 5003 Hardy St, Suite 401, Hattiesburg, MS 39402-1319 2011-11-01
1982744348 Hattiesburg Neonatology, Pllc Pediatrics 5003 Hardy St, Suite 302, Hattiesburg, MS 39402-1319 2007-02-07
1073612651 Neurosurgery of Hattiesburg, Pa Neurological Surgery 5003 Hardy St, Ste 401, Hattiesburg, MS 39402-1319 2006-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518572965 Resilient Therapy and Solutions, Pllc Clinic/Center 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 2020-09-12
1932710225 Jones County Medical Supplies, Inc Durable Medical Equipment & Medical Supplies 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 2020-08-11
1467086736 Elizabeth A. Perry Technician 1220 Marrie St, Hattiesburg, MS 39402 2020-02-26
1225678063 Connor Gregory Galloway Physical Therapist 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 2020-01-09
1487291456 Megan Marie Smith Social Worker 11 Woodstone Plaza, Hattiesburg, MS 39402 2019-12-09
1821656612 Julie Covington Mcmahan Dentist 100 Madison Plaza, Hattiesburg, MS 39402 2019-06-05
1295392074 Hattiesburg Clinic, Pa Preventive Medicine 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 2019-05-28
1760945356 Rachandeep Chahal Student in an Organized Health Care Education/Training Program 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 2019-04-10
1386101137 Courtney L Smith Behavior Technician 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 2019-02-28
1891269940 Amanda Laine Mcarthur-macisaac Registered Nurse 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 2019-01-11
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427556349 Candace Johnson Nurse Practitioner 62 Old Airport Rd, Hattiesburg, MS 39401-8382 2018-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972120665 Chelsea Lynne Mcgee Walley Nurse Practitioner 1880 Bakers Trl, Nesbit, MS 38651-6042 2020-06-29
1225675952 Victoria Delores Brown Nurse Practitioner 5155 Keele St Apt 22d, Jackson, MS 39206-4331 2019-12-02
1497280770 Jessica Wilder Nurse Practitioner 128 Cattail Ln, Ocean Springs, MS 39564-3863 2017-04-25
1609321702 Ashley Floyd Nurse Practitioner 1203 Avenue B Ste 300, Ellisville, MS 39437-2080 2016-08-18
1033571054 Debra Gail Gill Nurse Practitioner 4892 Briarton Dr, Southaven, MS 38672-9571 2016-03-29
1346652377 Rachel Nichole Ford Nurse Practitioner 5963 I 55 N, Jackson, MS 39213-9722 2014-05-26
1831485895 Anita Sharyl Clinton Donegan Nurse Practitioner 1012 Big Lane Dr, Brookhaven, MS 39601-2331 2011-06-28
1285861039 Katherine Young Nurse Practitioner 1212 Northpark Ln Ne, Brookhaven, MS 39601 2009-06-19
1295936839 Susan Turiano Crump Nurse Practitioner 111 Depot Dr # A, Madison, MS 39110-9395 2007-05-30
1760601967 Kimberly Lynne Schlagel Nurse Practitioner 1200 N State St Ste 430, Jackson, MS 39202-2027 2007-04-25
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Competitor

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City HATTIESBURG
Zip Code 39402

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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