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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TRACI JACKSON

Active Sole Proprietor

TRACI JACKSON is a Foot & Ankle Surgery healthcare provider located in WILLOUGHBY, Ohio. NPI 1295323897 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · WILLOUGHBY, OH

Registration Details

NPI Number
1295323897
Provider Type
Individual
Gender
Female
NPI Issued
Jan 8, 2021 (5.6336788634284 yrs)
Last Updated
Jan 8, 2021
Sole Proprietor
Yes

Practice Information

Address
38365 NORTH LN
WILLOUGHBY, OH, 440947415
Browse OH providers · Browse ZIP 44094
Phone
4407496343
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in WILLOUGHBY, OH

Name Credential NPI
RICHARD C SUMRADA 1467055251
MRS. DONNA M ANDERSON 1780289058
NATALIA B SPICER 1851176390
LAMAR QUASHAWN HEATH 1215709555
DARIONA ANDERSON 1356167308
ERIKA BUSH 1043002512
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.