| Mrs Traci Jackson, LPN | |
|
6462 Morris Rd, Munnsville, NY 13409-4122 | |
| (315) 264-8316 | |
| Not Available |
| Full Name | Mrs Traci Jackson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 6462 Morris Rd, Munnsville, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821340498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 311477 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Traci Jackson, LPN 6462 Morris Rd, Munnsville, NY 13409 Ph: (315) 264-8316 | Mrs Traci Jackson, LPN 6462 Morris Rd, Munnsville, NY 13409-4122 Ph: (315) 264-8316 |
Melissa Schon, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5975 Valley Mills Rd, Munnsville, NY 13409 Phone: 315-813-2169 | |
Amanda West, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5071 Bear Path Rd, Munnsville, NY 13409 Phone: 315-368-8377 |