Individual provider · Type 1 NPI
Jackie B. Michael-Havens, NP
Family Nurse Practitioner · Gold Beach, OR
NPI number
1548701600
Active
Practice location
PO Box 790
Gold Beach, OR 97444-0790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 202000081-NP-PP (OR) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Gold Beach
About NPI 1548701600
Jackie B. Michael-Havens, NP's National Provider Identifier is 1548701600, issued on Mar 9, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gold Beach, OR. The record was last updated on Sep 21, 2026.