Tracy, Abigail Jean

Tracy, Abigail Jean is an sole proprietor health care provider with primary practice located at 4480 Centerville Rd , White Bear Lake MN 55127. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Tracy, Abigail Jean can be contacted via phone (651) 484-2724.

Contact Information

Primary practice address
4480 Centerville Rd White Bear Lake MN 55127
Phone: (651) 484-2724
Fax: (651) 484-2723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 14165 Minnesota

Profile Details

NPI number 1336724590
LBN Legal business name Tracy, Abigail Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2021
Last updated Jan 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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