Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tracy Elizabeth Mansour, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1942996996

Mrs. Tracy Elizabeth Mansour, NURSEPRACTITIONER is a Registered Nurse in Mattapan, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

87 W Selden St
Mattapan, MA 02126-2346
Phone: (857) 500-3022
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 264410 (MA)
Registered Nurse Taxonomy 163W00000X · Licence 264410 (MA)

Record details

NPI number1942996996
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedApril 13, 2023
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

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