Individual provider · Type 1 NPI
Elaine Mae Jackson
Public Health or Welfare Agency · Two Harbors, MN
NPI number
1548628860
Active
Practice location
426 1st Ave
Two Harbors, MN 55616-1614
Fax (218) 834-2918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
About NPI 1548628860
Elaine Mae Jackson's National Provider Identifier is 1548628860, issued on Feb 1, 2016. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Two Harbors, MN. The record was last updated on Feb 1, 2016.