Tracie Renee Jackson, RN
NPI #1134963507 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1134963507
- Entity Type
- Individual
- Name
- Tracie Renee Jackson, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- RN
- Enumeration Date
- Jun 20, 2024
- Last Updated
- Jun 20, 2024
Practice Location
- Address
- 8569 HARVEST VIEW CT
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21043-6560
- Phone
- (443) 224-5406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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