Individual provider · Type 1 NPI
Lindsey Nicole Jack, CPNP
Pediatric Nurse Practitioner · Alpena, MI
NPI number
1922523786
Active
Practice location
1501 W Chisholm St
Alpena, MI 49707-1401
Mailing address
1501 W. Chisholm, Attn: Physican Relations
Alpena, MI 49707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704315115 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1922523786
Lindsey Nicole Jack, CPNP's National Provider Identifier is 1922523786, issued on Aug 13, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Alpena, MI. The record was last updated on Aug 13, 2017.