Individual provider · Type 1 NPI

Michelle Lynn Jackson, APRN

Family Nurse Practitioner · Peoria, IL

NPI number 1790347722 Active

Practice location

8914 N Knoxville Ave
Peoria, IL 61615-1410

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X209.019281 (IL)
Family Nurse Practitioner Primary 363LF0000X209019281 (IL)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1790347722

Michelle Lynn Jackson, APRN's National Provider Identifier is 1790347722, issued on Jun 29, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Dec 14, 2024.