Individual provider · Type 1 NPI
Jacklyn Jackson
Psychiatric/Mental Health Registered Nurse · Lansing, MI
NPI number
1609291137
Active
Practice location
5303 S Cedar St
Lansing, MI 48911-3800
Mailing address
812 E Jolly Rd Ste 210
Lansing, MI 48910-6821
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 4707101768 (MI) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1609291137
Jacklyn Jackson's National Provider Identifier is 1609291137, issued on Feb 20, 2014. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Lansing, MI. The record was last updated on Feb 20, 2014.