Provider Demographics
NPI:1417772906
Name:JONES, TRACY ANN (CD, CBS)
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:ANN
Last Name:JONES
Suffix:
Gender:F
Credentials:CD, CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 W BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-1166
Mailing Address - Country:US
Mailing Address - Phone:774-253-2035
Mailing Address - Fax:
Practice Address - Street 1:1200 W BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01606-1166
Practice Address - Country:US
Practice Address - Phone:774-253-2035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula