Individual
MRS. JACQUELINE N DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
W 17530 MAIN ST, CURTIS, MI 49820
(906) 586-3300
Mailing address
502 W HARRIE ST, NEWBERRY, MI 49868
(906) 293-9200
(906) 586-3264
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704282026
MI
Other
Enumeration date
01/23/2018
Last updated
05/11/2022
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