Mrs Traci Cameron, NP | |
203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2462 | |
(903) 541-5455 | |
(903) 541-5456 |
Full Name | Mrs Traci Cameron |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 203 Nacogdoches St, Jacksonville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053635391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 712611 (Texas) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 118197 (Texas) | Primary |
Entity Name | Etmc Physician Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
Mailing Address | Practice Location Address |
---|---|
Mrs Traci Cameron, NP 901 Turtle Creek Dr, Tyler, TX 75701-1947 Ph: (903) 596-3588 | Mrs Traci Cameron, NP 203 Nacogdoches St, Suite 280, Jacksonville, TX 75766-2462 Ph: (903) 541-5455 |
Mr. Jacob Martin Cabrera, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-541-4500 | |
Deborah Garganera Ledesma, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 510 E Commerce St, Jacksonville, TX 75766 Phone: 903-535-9041 | |
Pamela D Mackay, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Mabel N. Nwachukwu, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 College Ave, Jacksonville, TX 75766 Phone: 903-586-9000 | |
Mrs. Kristin White, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 W Rusk St, Jacksonville, TX 75766 Phone: 903-500-8252 | |
Stephanie R Ryle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 |