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MRS. AUTUMN SUSAN TRACE LPN
NPI 1316084346
Licensed Practical Nurse in Jackson, OH

Active since January 31, 2007
710 JACKSON HILL RD, JACKSON, OH 45640(740) 286-0212 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Autumn Susan Trace Lpn NPPES

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

MRS. AUTUMN SUSAN TRACE LPN (NPI 1316084346) is an individual licensed practical nurse in Jackson, Ohio, licensed in Ohio (PN050719) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1316084346
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. AUTUMN SUSAN TRACECredential: LPN
Location Address710 JACKSON HILL RDJackson, OH 45640-9301
Mailing Address710 Jackson Hill RdJackson, OH 45640-9301 · (740) 286-0212
Phone(740) 286-0212
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1316084346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · PN050719
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
710 JACKSON HILL RD, Jackson, OH 45640
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Other Identifiers 1

Medicaid2578545OH

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 Autumn Trace's NPI number?

The NPI number for Autumn Trace is 1316084346. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Autumn Trace located?

Autumn Trace practices at 710 Jackson Hill Rd, Jackson, OH 45640. The listed phone number is (740) 286-0212.

What is Autumn Trace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Autumn Trace was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.