Provider Demographics
NPI:1831839406
Name:DOOLEY, TRACY LYNN (NP-C, MSN, RN-BC)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:LYNN
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:NP-C, MSN, RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 CHESTNUT RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08302-6511
Mailing Address - Country:US
Mailing Address - Phone:609-202-7444
Mailing Address - Fax:
Practice Address - Street 1:1120 DELSEA DR N
Practice Address - Street 2:
Practice Address - City:GLASSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08028-1444
Practice Address - Country:US
Practice Address - Phone:856-507-2783
Practice Address - Fax:856-205-0145
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01294900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily