Jacklyn Jackson Valid NPI
Individual provider · Psychiatric/Mental Health Registered Nurse · Lansing, MI
- NPI
- 1609291137
- Type
- Individual (Type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse (Registered Nurse)
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163WP0808X
- License number
- 4707101768 (MI)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2014-02-20
- Last updated
- 2014-02-20
Practice location
5303 S Cedar St
Lansing, MI 48911-3800
(517) 346-8019