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TRACY JACKSON
NPI 1952779209
Nurse's Aide in Cleveland, OH

Active since September 03, 2015
11210 ORVILLE AVE, CLEVELAND, OH 44106(216) 937-5173 Get Directions Write a Review

NPPES record last updated: September 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Jackson NPPES

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

TRACY JACKSON (NPI 1952779209) is an individual nurse's aide in Cleveland, Ohio, licensed in Ohio (401185830111) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1952779209
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameTRACY JACKSON
Location Address11210 ORVILLE AVECleveland, OH 44106-1327
Mailing Address11210 Orville AveCleveland, OH 44106-1327 · (216) 937-5173
Phone(216) 937-5173
Sole ProprietorYes
Enumeration DateSeptember 3, 2015
✔ NPI 1952779209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in OH · 401185830111
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
11210 ORVILLE AVE, Cleveland, OH 44106
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Other Names 1

Former Name (1)Tracy Jackson Stna

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 1952779209. It was assigned to this individual provider in the NPPES registry on September 3, 2015. The provider is also known as Tracy Jackson Stna.

Where is Tracy Jackson located?

Tracy Jackson practices at 11210 Orville Ave, Cleveland, OH 44106. The listed phone number is (216) 937-5173.

What is Tracy Jackson's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Tracy Jackson was last updated on September 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.