Individual provider · Type 1 NPI

Amanda Jacques, FNP

Nurse Practitioner · Tawas City, MI

NPI number 1376082487 Active

Practice location

295 Maple St Ste 202
Tawas City, MI 48763-9352

Fax (989) 362-0161

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704276177 (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 1376082487

Amanda Jacques, FNP's National Provider Identifier is 1376082487, issued on Feb 22, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tawas City, MI. The record was last updated on Sep 12, 2025.