National Provider Identifier

Jennifer Anne Tracy, PNP

Jennifer Anne Tracy, PNP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Niagara Falls, NY and a listed phone number of (716) 278-4000.

NPI 1790396877Niagara Falls, NYNurse Practitioner

Profile Overview

NPI
1790396877
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
August 12, 2020
Last Updated
August 12, 2020

Practice Location

  • 621 10Th St
  • Niagara Falls, NY 14301-1813

Phone: (716) 278-4000

Mailing Address

  • 427 Hawthorne Pl
  • Youngstown, NY 14174-1324

Specialties

  • Nurse Practitioner (363L00000X)

Endpoints

  • jennifertracy1003@gmail.com

    Connect Url | Direct | Csv | Youngstown, NY 14174

Full Record
NPI
1790396877
Entity Type
Individual
Last Name
Tracy
First Name
Jennifer
Middle Name
Anne
Name Prefix
Mrs.
Credential
PNP
Mailing Street Address
427 Hawthorne Pl
Mailing City
Youngstown
Mailing State
NY
Mailing ZIP Code
14174-1324
Mailing Country
US
Mailing Phone
(716) 799-2500
Practice Street Address
621 10Th St
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14301-1813
Practice Country
US
Practice Phone
(716) 278-4000
Enumeration Date
August 12, 2020
Last Updated
August 12, 2020
Sex
Female
Sole Proprietor
No
Certification Date
August 12, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)