Individual
MRS. JENNIFER ANNE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
621 10TH ST, NIAGARA FALLS, NY 14301-1813
(716) 278-4000
Mailing address
427 HAWTHORNE PL, YOUNGSTOWN, NY 14174-1324
(716) 799-2500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
383152
NY
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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