MRS. TRACY LYNN VERCILLO RN NPI 1679031710

NPI Information

NPI: 1679031710
Provider Name: MRS. TRACY LYNN VERCILLO, RN
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
229 S DAVIS RD STE 900
LAGRANGE, GA
ZIP 30241
Phone: (706) 756-1489
Get Directions

MRS. Tracy Lynn Vercillo, RN is an addiction (substance use disorder) registered nurse in Lagrange, GA. MRS. Tracy Lynn Vercillo, RN NPI is 1679031710. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

229 S DAVIS RD STE 900
LAGRANGE, GA
ZIP 30241-609
Phone: (706) 756-1489

The enumeration date for this NPI number is 3/7/2019 and was last updated on 3/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	RN085566	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »