Individual provider · Type 1 NPI

Jillian Tracy, FNP-C

Nurse Practitioner · Syracuse, NY

NPI number 1740948702 Active

Practice location

750 E Adams St Rm 3605
Syracuse, NY 13210-2306

Mailing address

99 Carpenter Ave
Groton, NY 13073-1368

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X347781 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1740948702

Jillian Tracy, FNP-C's National Provider Identifier is 1740948702, issued on Dec 7, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Syracuse, NY. The record was last updated on Dec 7, 2021.