Individual provider · Type 1 NPI
Jennifer Tracy
Pediatric Nurse Practitioner · Dallas, TX
NPI number
1316349962
Active
Practice location
2350 N Stemmons Fwy Ste 4300MCF4
Dallas, TX 75207-2700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP126482 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1316349962
Jennifer Tracy's National Provider Identifier is 1316349962, issued on Sep 25, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Sep 25, 2014.