Individual
TRACEY L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
100 CUMMINGS CTR, SUITE 126Q, BEVERLY, MA 01915-6115
(978) 524-8181
Mailing address
LAHEY HOSPITAL AND MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8580
(781) 744-5253
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP 204973
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP2893
BS
MA
Enumeration date
07/28/2006
Last updated
05/23/2019
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