Individual provider · Type 1 NPI

Ife Jaha Tracy, NP

Family Nurse Practitioner · Boston, MA

NPI number 1497373799 Active

Practice location

960 Massachusetts Ave # 3448-A, Boston University Family Medicine;value Based Program
Boston, MA 02118-2620

Mailing address

960 Massachusetts Ave Ste 2
Boston, MA 02118-2690

Other practice locations

  • 960 Massachusetts Ave, 3448-A Value Based Care - Evans, Boston, MA 02118 · (617) 414-2080

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN2299747 (MA)
Family Nurse Practitioner Primary 363LF0000XRN2299747 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1497373799

Ife Jaha Tracy, NP's National Provider Identifier is 1497373799, issued on Jul 13, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boston, MA. The record was last updated on Aug 23, 2024.