Search › New York › 164W00000X
Traci Jackson, LPN
NPI 1821340498 · on the registry since 2012 · sole proprietor
Practice
- Address
- 6462 Morris Rd
Munnsville, NY 13409 - Phone
- (315) 264-8316
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York