Individual provider · Type 1 NPI

Michele D. Jack, RN

Registered Nurse · Bradford, PA

NPI number 1033314331 Active

Practice location

20 School St
Bradford, PA 16701-1257

Mailing address

17028 Route 6
Smethport, PA 16749-4024

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN524462L (PA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1033314331

Michele D. Jack, RN's National Provider Identifier is 1033314331, issued on Jun 18, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Bradford, PA. The record was last updated on Jul 8, 2007.