Individual provider · Type 1 NPI

Tegan Jackson

Other Technician · Grand Rapids, MI

NPI number 1497217343 Active

Practice location

1823 Francis Ave SE
Grand Rapids, MI 49507-2418

Call (616) 881-2791 Map

Mailing address

2814 Woodcliff Cir SE
Grand Rapids, MI 49506-3155

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1497217343

Tegan Jackson's National Provider Identifier is 1497217343, issued on Apr 1, 2019. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 1, 2019.