Jennifer Lynn Tracy, APRN
Individual provider Active NPI Family Nurse Practitioner · Perryton, TX
NPI 1760109938 · NPPES record last updated Oct 27, 2022
Key facts
- NPI
- 1760109938
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1097806 (TX)
- Practice address
- 3101 Garrett Dr
Perryton, TX 79070-5323 - Phone
- (806) 648-9355
- Fax
- (806) 228-7071
- NPI assigned
- Oct 27, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1097806 | TX | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1097806 | TX | Yes |
Addresses
Primary practice location
3101 Garrett Dr
Perryton, TX 79070-5323
Mailing address
3101 Garrett Dr
Perryton, TX 79070-5323
Phone (806) 648-9355
Other providers in Perryton, TX
- Spinedoc LLC
- Joshua Dale Stevenson
- Stratford Hospital District D/B/a Senior Valley Nursing Home
- Tamren Jade Terhune
- Dana Michele Tow
- Tri-State Area Behavioral Health LLC
- United Supermarkets LLC
- United Supermarkets, LTD.
- United Supermarkets, LTD.
- United Supermarkets, LTD.
All providers in Perryton, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.