Individual
WHITNEY NICOLE JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
112 W WACKERLY ST, MIDLAND, MI 48640-7367
(989) 486-1457
(989) 486-1479
Mailing address
112 W WACKERLY ST, MIDLAND, MI 48640-7367
(989) 486-1457
(989) 486-1479
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601001084
MI
Other
Enumeration date
10/24/2022
Last updated
10/24/2022
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