Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRACY JACKSON
Active Sole ProprietorMR. TRACY JACKSON is a Home Health healthcare provider located in ROYERSFORD, Pennsylvania. NPI 1497323695 is currently active in the NPPES registry. Verify at CMS.
Home Health · ROYERSFORD, PA
Registration Details
- NPI Number
- 1497323695
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2021 (5.2082817528733 yrs)
- Last Updated
- Jun 14, 2021
- License
-
1038809410001 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
151 KNOCK HILL DRROYERSFORD, PA, 194683493Browse PA providers · Browse ZIP 19468
- Phone
- 4842135437
- Primary Specialty
-
Home Health
251E00000X
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.