Individual
JACLYN NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5333 MCAULEY DRIVE, YPSILANTI, MI 48197
(734) 712-3971
(734) 887-8941
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, J2000, ANN ARBOR, MI 48105
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007235
MI
Other
Enumeration date
11/25/2014
Last updated
01/02/2024
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