Individual
JODI TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-7101
(603) 356-5461
Mailing address
178 SAWYER LAKE RD, GILMANTON, NH 03237
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
069932-23
NH
Other
Enumeration date
02/07/2018
Last updated
03/17/2018
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