Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Tracedyn Willis

Individual provider Physician Assistant · NPI 1265312375

Mr. Tracedyn Willis is a Physician Assistant in Nashville, Tennessee. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1211 Medical Center Dr
Nashville, TN 37232-0004
Phone: (773) 918-9826
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1265312375
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESJune 7, 2026
Certification dateJune 7, 2026

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