| Mrs Autumn Susan Trace, LPN | |
|
710 Jackson Hill Rd, Jackson, OH 45640-9301 | |
| (740) 286-0212 | |
| Not Available |
| Full Name | Mrs Autumn Susan Trace |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 710 Jackson Hill Rd, Jackson, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316084346 | NPI | - | NPPES |
| 2578545 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN050719 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Autumn Susan Trace, LPN 710 Jackson Hill Rd, Jackson, OH 45640-9301 Ph: (740) 286-0212 | Mrs Autumn Susan Trace, LPN 710 Jackson Hill Rd, Jackson, OH 45640-9301 Ph: (740) 286-0212 |
Tami L Law, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 122 Florence Ave, Jackson, OH 45640 Phone: 740-286-4426 | |
Ms. Virginia Lee Shields, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 8 Cambrian Ave, Jackson, OH 45640 Phone: 740-286-6962 | |
Bonnie Sue Mullins, L.P.N, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2665 Five Points Rd, Jackson, OH 45640 Phone: 740-286-7153 | |
Laura A Friend, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 74 Daisy Ave, Jackson, OH 45640 Phone: 740-418-2972 | |
Mrs. Dorena L Fischer, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11842 State Route 139, Jackson, OH 45640 Phone: 740-286-3429 | |
Cheyenne S Perkins, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 Twin Oaks Dr Unit D, Jackson, OH 45640 Phone: 740-577-3450 Fax: 740-577-3451 |