Individual provider · Type 1 NPI
Christopher John Jackson, AGACNP
Adult Health Nurse Practitioner · Livonia, MI
NPI number
1427612480
Active
Practice location
8921 Harvey St
Livonia, MI 48150-3518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704297208 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1427612480
Christopher John Jackson, AGACNP's National Provider Identifier is 1427612480, issued on Apr 25, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Livonia, MI. The record was last updated on Apr 1, 2021.