| Doctor Name: | TRACY ANN DEVITT |
| NPI Number: | 1659617280 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | RN2271523 |
| Business Practice Address: | 152 Front St Ponte Vedra, FL - 320823058 |
| Business Phone Number: | 7815898603 |
| Business Fax Number: | |
| Mailing Address: | 3737 Saint Johns Bluff Rd S, Apt 1616 JACKSONVILLE |
| State: | FL |
| Postal Code: | 322242652 |
| Phone Number: | 7815898603 |
| Fax Number: | |
| NPI Enumeration Date: | 01/01/2013 |
| NPI Last Update Date: | 01/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN2271523 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |