Individual provider · Type 1 NPI
Heather Nicole Jacques
Student in an Organized Health Care Education/Training Program · Fife Lake, MI
NPI number
1053825810
Active
Practice location
10560 Hager Rd
Fife Lake, MI 49633-9312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1053825810
Heather Nicole Jacques's National Provider Identifier is 1053825810, issued on Nov 30, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fife Lake, MI. The record was last updated on Nov 30, 2017.