Individual
KASSIDY JO TREACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
Mailing address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704352886
MI
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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