Individual
JULIE ANNE JACKSON-WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
220 BAGLEY ST STE 1100, DETROIT, MI 48226-1411
(313) 475-8538
Mailing address
220 BAGLEY STREET, SUITE 1100, DETROIT, MI 48235
(313) 961-7990
(313) 961-1047
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704189295
MI
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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