Individual
MRS. AMANDA JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
295 MAPLE ST STE 202, TAWAS CITY, MI 48763-9352
(989) 362-6108
(989) 362-0161
Mailing address
4000 WELLNESS DR, MIDLAND, MI 48670-2000
(844) 832-1956
(989) 633-5241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704276177
MI
Other
Enumeration date
02/22/2017
Last updated
09/12/2025
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