Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Traci Jackson, LPN

Individual provider Licensed Practical Nurse · NPI 1821340498

Mrs. Traci Jackson, LPN is a Licensed Practical Nurse in Munnsville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

6462 Morris Rd
Munnsville, NY 13409-4122
Phone: (315) 264-8316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 311477 (NY)

Record details

NPI number1821340498
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedOctober 8, 2012
Last updated in NPPESOctober 8, 2012
Mailing address6462 Morris Rd, Munnsville, NY 13409

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