Individual
JEAN TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17 CENTENNIAL DR, PEABODY, MA 01960-7923
(978) 573-5354
Mailing address
24 GREENLEAF DR, DANVERS, MA 01923-1528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
203849
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP3732
BC BS
MA
Enumeration date
01/11/2007
Last updated
07/08/2007
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