Search › West Virginia › 374U00000X
Traci Jackson
NPI 1881581452 · on the registry since 2025 · sole proprietor
Practice
- Address
- 180 Jems Ln
Prichard, WV 25555 - Phone
- (304) 412-1557
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2025-06-18
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 West Virginia