Individual provider · Type 1 NPI
Jaclyn Esther Michniak
Family Nurse Practitioner · South Lyon, MI
NPI number
1801447768
Active
Practice location
11401 N Rushton Rd
South Lyon, MI 48178-9123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704286575 (MI) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in South Lyon
About NPI 1801447768
Jaclyn Esther Michniak's National Provider Identifier is 1801447768, issued on Sep 23, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in South Lyon, MI. The record was last updated on Apr 21, 2025.