Jennifer Lynn Tracy, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1097806 Issued in TX

Practice address

3101 Garrett Dr
Perryton, TX 79070-5323

Phone

(806) 648-9355

Fax

(806) 228-7071

NPI assigned

Oct 27, 2022

Last updated

Oct 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1760109938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-648-9355",
            "fax_number": "806-228-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 GARRETT DR",
            "city": "PERRYTON",
            "state": "TX",
            "postal_code": "790705323",
            "telephone_number": "806-648-9355",
            "fax_number": "806-228-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1097806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spinedoc LLC
• Joshua Dale Stevenson, CRNA
• Stratford Hospital District D/B/a Senior Valley Nursing Home
• Tamren Jade Terhune, MS, PLD
• Dana Michele Tow, APRN- FNP
• Tri-State Area Behavioral Health LLC
• United Supermarkets LLC (United Pharmacy #1325)
• United Supermarkets, LTD. (United Pharmacy 425)
• United Supermarkets, LTD. (United Pharmacy # 525)
• United Supermarkets, LTD. (United Pharmacy #425)

• Family Nurse Practitioner in Perryton, TX
• Providers in Perryton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.