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Mrs. Autumn Susan Trace, LPN
Licensed Practical Nurse in Jackson, Ohio
NPI 1316084346

Autumn Susan Trace is a Licensed Practical Nurse based in Jackson, OH. Autumn Susan Trace practices in Jackson, OH and has the professional credentials of LPN. The NPI Number for Autumn Susan Trace is 1316084346 and holds a License No. PN050719 (Ohio).

The current practice location address for Autumn Susan Trace is 710 Jackson Hill Rd, Jackson, OH and can be reached out via phone at 740-286-0212.

Location: 710 Jackson Hill Rd, Jackson, OH, 45640-9301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316084346
Provider Name
Autumn Susan Trace
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
710 Jackson Hill Rd, Jackson, OH, 45640-9301
Phone Number
740-286-0212
Fax Number
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2578545 05 OH
institution
Provider Business Practice Location Address Details
Address
710 Jackson Hill Rd
City
Jackson
State
Ohio
Zip
45640-9301
Phone Number
740-286-0212
Fax Number
person
Provider Business Mailing Address Details
Address
710 Jackson Hill Rd
City
Jackson
State
Ohio
Zip
45640-9301
Phone Number
740-286-0212
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN050719 (Ohio)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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