Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACI JACKSON, LPN
Active Sole ProprietorMRS. TRACI JACKSON, LPN is a Licensed Practical Nurse healthcare provider located in MUNNSVILLE, New York. NPI 1821340498 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · MUNNSVILLE, NY
Registration Details
- NPI Number
- 1821340498
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2012 (13.86515913288 yrs)
- Last Updated
- Oct 8, 2012
- License
-
311477 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6462 MORRIS RDMUNNSVILLE, NY, 134094122Browse NY providers · Browse ZIP 13409
- Phone
- 3152648316
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in MUNNSVILLE, NY
| Name | Credential | NPI |
|---|---|---|
| MELISSA SCHON | — | 1235615436 |
| AMANDA WEST | — | 1417779992 |
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.