National Provider Identifier
Tracey Monique Jackson, RN
Tracey Monique Jackson, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (585) 509-7183.
Profile Overview
- NPI
- 1609063882
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- October 01, 2007
- Last Updated
- October 01, 2007
Practice Location
- 23 Flanders St
- Rochester, NY 14619-1705
Phone: (585) 509-7183
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1609063882
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Tracey
- Middle Name
- Monique
- Name Prefix
- Mrs.
- Credential
- RN
- Mailing Street Address
- 23 Flanders St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-1705
- Mailing Country
- US
- Mailing Phone
- (585) 509-7183
- Practice Street Address
- 23 Flanders St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-1705
- Practice Country
- US
- Practice Phone
- (585) 509-7183
- Enumeration Date
- October 01, 2007
- Last Updated
- October 01, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)
- Other Identifiers
- 01959764 (NY)