Individual
NATASHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7360 CRYSTAL LAKE DR APT 6, SWARTZ CREEK, MI 48473-8942
(810) 597-1514
Mailing address
7360 CRYSTAL LAKE DR APT 6, SWARTZ CREEK, MI 48473-8942
(810) 597-1514
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704344257
MI
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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