National Provider Identifier
Tracy Dudley
Tracy Dudley is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Jamestown, NY and a listed phone number of (704) 492-6610.
Profile Overview
- NPI
- 1518336387
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- September 22, 2015
- Last Updated
- September 22, 2015
Practice Location
- 764 Harding Ave
- Jamestown, NY 14701
Phone: (704) 492-6610
Mailing Address
- 764 Harding Ave
- Jamestown, NY 14701-4558
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1518336387
- Entity Type
- Individual
- Last Name
- Dudley
- First Name
- Tracy
- Mailing Street Address
- 764 Harding Ave
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-4558
- Mailing Country
- US
- Mailing Phone
- (704) 492-6610
- Practice Street Address
- 764 Harding Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701
- Practice Country
- US
- Practice Phone
- (704) 492-6610
- Enumeration Date
- September 22, 2015
- Last Updated
- September 22, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)