| Doctor Name: | TRACY LEE LEVERONE |
| NPI Number: | 1629065818 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, BC |
| License Number: | 169947 |
| Business Practice Address: | 288 Bedford St Whitman, MA - 023821820 |
| Business Phone Number: | 7814476425 |
| Business Fax Number: | 7814471786 |
| Mailing Address: | 288 Bedford St, WHITMAN |
| State: | MA |
| Postal Code: | 023821820 |
| Phone Number: | 7814476425 |
| Fax Number: | 7814471786 |
| NPI Enumeration Date: | 10/03/2005 |
| NPI Last Update Date: | 01/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | 169947 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |