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TRACI JACKSON
NPI 1295323897
Technician - Personal Care Attendant in Willoughby, OH

Active since January 08, 2021
38365 NORTH LN, WILLOUGHBY, OH 44094(440) 749-6343 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Traci Jackson NPPES

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

TRACI JACKSON (NPI 1295323897) is an individual personal care attendant in Willoughby, Ohio and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1295323897
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameTRACI JACKSON
Location Address38365 NORTH LNWilloughby, OH 44094-7415
Mailing Address38365 North LnWilloughby, OH 44094-7415 · (440) 749-6343
Phone(440) 749-6343
Sole ProprietorYes
Enumeration DateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
✔ NPI 1295323897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
38365 NORTH LN, Willoughby, OH 44094
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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 Traci Jackson's NPI number?

The NPI number for Traci Jackson is 1295323897. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Traci Jackson located?

Traci Jackson practices at 38365 North Ln, Willoughby, OH 44094. The listed phone number is (440) 749-6343.

What is Traci Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Traci Jackson was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.