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

Tracy Gillen

Individual provider Pediatric Nurse Practitioner · NPI 1548102916

Tracy Gillen is a Pediatric Nurse Practitioner in Fairhaven, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2026.

Licensed in
MA
In the registry since
2026

Practice location Address checks out

20 Grape St
Fairhaven, MA 02719-1616
Phone: (508) 740-0437
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence RN238805 (MA)

Record details

NPI number1548102916
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address20 Grape St, Fairhaven, MA 02719-1616