Individual provider · Type 1 NPI
Racheal Rose Jamison
Family Nurse Practitioner · Port Huron, MI
NPI number
1619633625
Active
Practice location
1979 Holland Ave Ste C
Port Huron, MI 48060-8639
Mailing address
3648 Teeple Ave
Fort Gratiot, MI 48059-4157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 4704285557 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1619633625
Racheal Rose Jamison's National Provider Identifier is 1619633625, issued on Nov 14, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Port Huron, MI. The record was last updated on Mar 11, 2022.