Individual
KARIN TIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 780-7289
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-0002
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704165318
MI
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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