Female

Tracy N. Fox Nelson P.A.

Physician Assistant in Gulf Breeze, FL(View on Map)

Full Name

Tracy N Fox Nelson P.A.

NPI Number

1205901469

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/22/2006

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9102098

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 30532
1040 GULF BREEZE PKWY

City

Pensacola
Gulf Breeze

State

FL
FL

Postal Code

32503-1532
32561-7809

Country

US
US

Telephone Number

(850) 916-3700
(850) 916-3700

Identifiers

Identifier

CL2119
59193887
Y01C8
115029
P00397348
000215800
592-09448
59197534
9147144
Unknown

Identifier State

FL
AL
FL
AL
FL
FL
AL
AL
Unknown
Unknown

Identifier Issuer

MEDICARE RAILROAD
BCBS ALABAMA - GBO
BLUE CROSS BLUE SHIELD
Unknown
MEDICARE RAILROAD
Unknown
BLUE CROSS BLUE SHIELD
BCBS ALABAMA
AETNA PIN
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/29/2011

Provider Address

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