Tracey Downs has over 14 years of experience in family practice, now focusing on pediatrics - supporting children through all ages and stages.
As a Certified Lactation Counselor, Tracey also offers lactation visits to guide and support families through the infant stage. She is passionate about building strong relationships with families.
Kristin Gallagher focuses on pediatric primary care and is committed to supporting families in the community.
Additionally she brings Emergency Room experience, offering services such as suturing and splinting. Kristin is committed to helping patients avoid unnecessary ER visits. Available for acute visits only on some Saturdays!
Nicole Marchesani provides adult primary care and offers convenient evening hours for busy patients, with some Saturday appointments.
Nicole is dedicated to accessible, compassionate care and helps patients manage their health with respect, empathy, and evidence-based practice.
At Generations, pediatrics is a cornerstone of our care. Tracey Downs, FNP-C, and Kristin Gallagher, FNP-C, are dedicated to supporting children from birth through the teen years — and into young adulthood.
We believe families deserve continuity of care, which is why our patients don’t “age out” of pediatrics. As your children grow, we continue to be their providers, offering a trusted and familiar place for care at every stage. Our goal is to build strong, lasting relationships that support your family’s health through every generation.
Generations Family Health NPs, PLLC is founded by three nurse practitioners united in their mission to support families across generations. Our mission is simple: To provide compassionate, personalized care for patients of all ages and to empower families with knowledge, prevention, and support.
At Generations Family Health NPs, our vision is to redefine the patient experience. We created Generations because we believe healthcare should be personal, not rushed. Too often, patients feel like a number in the system—and providers are stretched too thin to give the kind of care they wish they could.
We’re changing that.
At Generations Family Health, we’re cutting through the red tape to bring more time, more trust, and more heart back into medicine. Our nurse practitioner-led practice is rooted in relationships, and we’re building something that prioritizes real connection and continuity.