Individual
MRS. JESSICA SARA HEREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3350 SHATTUCK RD, SAGINAW, MI 48603-3287
(989) 583-7090
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704283183
MI
Other
Enumeration date
02/19/2020
Last updated
03/26/2021
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