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

Tracie Ledora Mitchem-Green, FNP

Individual provider Primary Care Nurse Practitioner · NPI 1942321575

Tracie Ledora Mitchem-Green, FNP is a Primary Care Nurse Practitioner in Lake City, Florida. Practices as a sole proprietor. Licensed in Florida, New York and South Carolina.

Licensed in
FL, NY, SC
In the registry since
2007
Specialties on file
5
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

295 NW Commons Loop # 115-105
Lake City, FL 32055-7721
Phone: (803) 381-7690
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 2981 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9304575 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 2981 (SC)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence ARNP9304575 (FL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 342892 (NY)

Record details

NPI number1942321575
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedApril 2, 2007
Last updated in NPPESMay 10, 2018

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