MRS. AUTUMN TRACE, LPN

Licensed Practical Nurse

Active Individual
NPI: 1316084346

Practice Address

710 JACKSON HILL RD
Jackson, OH 45640

Phone: (740) 286-0212

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes PN050719 (OH)

Frequently Asked Questions

NPI 1316084346 is the National Provider Identifier for MRS. AUTUMN TRACE, LPN, a Licensed Practical Nurse provider located in Jackson, OH. This NPI was enumerated on January 31, 2007.
MRS. AUTUMN TRACE, LPN practices at 710 JACKSON HILL RD, Jackson, OH 45640.

Quick Facts

NPI
1316084346
Type
Individual
Enumerated
Jan 31, 2007
Last Updated
Jul 9, 2007

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