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

Tracey Michelle Foreman, FNP

Individual provider Family Nurse Practitioner · NPI 1083386643

Tracey Michelle Foreman, FNP is a Nurse Practitioner in Ecru, Mississippi. Qualified in 2021, 5 years ago. Practices with Friendship Medical Clinic LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5482 Highway 15 N
Ecru, MS 38841-8471
Phone: (662) 488-8799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Cunningham Dr, Ripley, MS 38663-1302 — (731) 394-1145

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904964 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R879104 (MS)

Record details

NPI number1083386643
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023
Mailing address5482 Highway 15 N, Ecru, MS 38841-8471

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Friendship Medical Clinic Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ecru