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.

See every abbreviation used in this directory →

Practice location Address checks out

6462 Morris Rd
Munnsville, NY 13409-4122 Not confirmed with CMS for 13 years — call before visiting
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

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