Individual provider · Type 1 NPI
Michelle Lee Jackson, RN
Emergency Registered Nurse · Gallup, NM
NPI number
1386201598
Active
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse Primary | 163WE0003X | 577517 (TX) |
Emergency Registered Nurse: Definition to come...
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- Stephanie Rae Datema, RNEmergency Registered Nurse Gallup, NM NPI 1013344779
- Eric ThompsonEmergency Registered Nurse Gallup, NM NPI 1013441765
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About NPI 1386201598
Michelle Lee Jackson, RN's National Provider Identifier is 1386201598, issued on May 22, 2019. The primary taxonomy on file is Emergency Registered Nurse (163WE0003X), and the practice location is in Gallup, NM. The record was last updated on May 22, 2019.