Individual provider · Type 1 NPI

Jessica Jo Dawson

Nurse Practitioner · Manistee, MI

NPI number 1417814229 Active

Practice location

2967 Page Rd
Manistee, MI 49660-9402

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704256148 (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 1417814229

Jessica Jo Dawson's National Provider Identifier is 1417814229, issued on Jan 6, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manistee, MI. The record was last updated on Jan 6, 2026.