MRS. TRACI JACKSON LPN
NPI 1821340498
Licensed Practical Nurse in Munnsville, NY

Q: What is Traci Jackson's NPI number?

The NPI number for Traci Jackson is 1821340498. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Q: What is Traci Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Traci Jackson was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 08, 2012

6462 MORRIS RD, MUNNSVILLE, NY 13409(315) 264-8316 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Traci Jackson Lpn NPPES

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

MRS. TRACI JACKSON LPN (NPI 1821340498) is an individual licensed practical nurse in Munnsville, New York, licensed in New York (311477) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1821340498

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMRS. TRACI JACKSONCredential: LPN

Location Address6462 MORRIS RDMunnsville, NY 13409-4122

Mailing Address6462 Morris RdMunnsville, NY 13409 · (315) 264-8316

Phone(315) 264-8316

Sole ProprietorYes

Enumeration DateOctober 8, 2012

✔ NPI 1821340498 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 NY · 311477

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.

6462 MORRIS RD, Munnsville, NY 13409

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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 1821340498. It was assigned to this individual provider in the NPPES registry on October 8, 2012.

Where is Traci Jackson located?

Traci Jackson practices at 6462 Morris Rd, Munnsville, NY 13409. The listed phone number is (315) 264-8316.

What is Traci Jackson'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 Traci Jackson was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.