Individual provider · Type 1 NPI
Jacqueline Elaine Garry
Administrator Registered Nurse · Detroit, MI
NPI number
1386500585
Active
Practice location
4646 John R St
Detroit, MI 48201-1916
Mailing address
19644 Conley St
Detroit, MI 48234-2252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 4704208464 (MI) |
Administrator Registered Nurse: Definition to come...
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About NPI 1386500585
Jacqueline Elaine Garry's National Provider Identifier is 1386500585, issued on Dec 31, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Detroit, MI. The record was last updated on Dec 31, 2025.