Traci Davis Suber is a Hattiesburg, Mississippi based nurse practitioner with 28 years of experience in . She completed her graduation in 1997. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Traci Davis Suber is R814179 for Women Health in Mississippi. Her current practice location is 421 S 28th Ave Ste 200, Hattiesburg. Patients can reach her at 601-268-5640 or can fax her at 601-579-5240. Traci Davis Suber is WHNP and her NPI number (Unique professional ID assigned by NPPES) is 1962628966. Traci Davis Suber has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Traci Davis Suber speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Traci Davis Suber
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
WHNP
Experience:
28+ years
Medical School Attended:
Other
Graduation Year:
1997
Accepts Medicare Assignment:
Yes
Practice Address:
421 S 28th Ave Ste 200, Hattiesburg, Mississippi, 39401-7208
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6305930587
Enrollment ID:
I20070919000234
NPI Number:
1962628966
NPI Enumeration Date:
18 Apr, 2007
NPI Last Update On:
11 Aug, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Traci Davis Suber are as mentioned below.
License Number
Specialization
State
Status
R814179
Women Health
Mississippi
Primary
814179
Nurse Practitioner
Mississippi
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Traci Davis Suber is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Hattiesburg Clinic, Pa (5193706794)
445
Other Medical Identifiers:
Other legacy medical identifiers associated with Traci Davis Suber such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00118984
Medicaid
Mississippi
12181303
Other
Mississippi
CAQH ID #
2285175
Other
Mississippi
UNITED HEALTHCARE
7059463
Other
Mississippi
AETNA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Traci Davis Suber 415 S 28th Ave, Hattiesburg, Mississippi
Zip:
39401-7246
Phone Number:
601-268-5640
Fax Number:
601-579-5240
Patients can reach Traci Davis Suber at 421 S 28th Ave Ste 200, Hattiesburg, Mississippi or can call to book an appointment on 601-268-5640.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.