TRACI ANN JACKSON

COLUMBUS, OH
NPI1689015778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OH  COA.14777-NP)
Enumeration Date2013-07-17
Last Update Date2013-07-17
Business Address
Mrs. TRACI ANN JACKSON CNP
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214-3908
Phone number: 614-566-1997
Mailing Address
Mrs. TRACI ANN JACKSON CNP
4669 SAHALEE DR
GROVE CITY, OH 43123-8179
Phone number: 614-364-2238