Jacqueline Tracey, CMA
Nurse's Aide in Tuba City, AZ. Individual provider (NPI-1).
NPI number1669917811
StatusActive
Last updated in NPPESDec 27, 2016
Details
- NPI
- 1669917811
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Tracey
- Credential
- CMA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2016
- Last updated
- Dec 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | 861198 | KS | Yes |
Practice location
167 North Main StreetTuba City, AZ 86045-0600
Phone 928-283-2094 · Fax 928-283-2677
Mailing address
Po Box 600Tuba City, AZ 86045-0600
Phone 928-283-2094 · Fax 928-283-2677
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 153 Nurse's Aide providers in Tuba City · All 1,056 providers in Tuba City
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