MRS. TRACY M. JACKSON
NPI 1104652056
Counselor - School in Stony Creek, VA

Active since September 09, 2024
21302 SUSSEX DR, STONY CREEK, VA 23882(434) 246-2251 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tracy M. Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACY M. JACKSON (NPI 1104652056) is an individual school provider in Stony Creek, Virginia, licensed in Virginia (PPS-06000912) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1104652056
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameMRS. TRACY M. JACKSON
Location Address21302 SUSSEX DRStony Creek, VA 23882-3751
Mailing Address21302 Sussex DrStony Creek, VA 23882-3751 · (434) 246-2251
Sole ProprietorNo
Enumeration DateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
NPI 1104652056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License Licensed in VA · PPS-06000912
21302 SUSSEX DR, Stony Creek, VA 23882

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (School)
21302 SUSSEX DR
STONY CREEK, VA 23882
Social Worker
21302 SUSSEX DR
STONY CREEK, VA 23882

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Jackson's NPI number?

The NPI number for Tracy Jackson is 1104652056. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Tracy Jackson located?

Tracy Jackson practices at 21302 Sussex Dr, Stony Creek, VA 23882. The listed phone number is (434) 246-2251.

What is Tracy Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Tracy Jackson was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.