Individual provider · Type 1 NPI
Elizabeth Anne Jackson, PMHNP
Nurse Practitioner · Grand Rapids, MI
Practice location
300 68th St SE
Grand Rapids, MI 49548-6927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704280272 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704280272 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1073180535
Elizabeth Anne Jackson, PMHNP's National Provider Identifier is 1073180535, issued on Jun 4, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 2, 2024.