TRACIE LEDORA MITCHEM-GREEN F.N.P
NPI 1942321575
Nurse Practitioner - Primary Care in Lake City, FL

Q: What is Tracie Mitchem-green's NPI number?

The NPI number for Tracie Mitchem-green is 1942321575. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Tracie Mitchem-green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since April 02, 2007

295 NW COMMONS LOOP # 115-105, LAKE CITY, FL 32055(803) 381-7690 Get Directions Write a Review

NPPES record last updated: May 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tracie Ledora Mitchem-green F.n.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACIE LEDORA MITCHEM-GREEN F.N.P (NPI 1942321575) is an individual primary care provider in Lake City, Florida, licensed in South Carolina (2981) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1942321575

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameTRACIE LEDORA MITCHEM-GREENCredential: F.N.P

Location Address295 NW COMMONS LOOP # 115-105Lake City, FL 32055-7721

Mailing Address295 Nw Commons Loop # 115-105Lake City, FL 32055-7721 · (803) 381-7690

Phone(803) 381-7690

Sole ProprietorYes

Enumeration DateApril 2, 2007

Last NPPES UpdateMay 10, 2018

✔ NPI 1942321575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Licenses✔ Licensed in SC · 2981✔ Licensed in FL · ARNP9304575✔ Licensed in NY · 342892

Also ListedNurse PractitionerTaxonomy 363L00000X · License 2981 (SC)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9304575 (FL)

295 NW COMMONS LOOP # 115-105, Lake City, FL 32055

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracie Mitchem-green's NPI number?

The NPI number for Tracie Mitchem-green is 1942321575. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Tracie Mitchem-green located?

Tracie Mitchem-green practices at 295 NW Commons Loop # 115-105, Lake City, FL 32055. The listed phone number is (803) 381-7690.

What is Tracie Mitchem-green's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Tracie Mitchem-green was last updated on May 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.