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Search › Illinois › 163W00000X

Tracy Jackson, RN

NPI 1831768852 · on the registry since 2021

Practice

Address
4101 W Iles Ave
Springfield, IL 62711
Phone
(217) 993-7085
Organisation at this address
Lutheran Senior Services
Lutheran Retirement Center Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-23

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 Illinois