Individual
RACHEAL ROSE JAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1979 HOLLAND AVE STE C, PORT HURON, MI 48060-8639
(810) 982-1200
Mailing address
3648 TEEPLE AVE, FORT GRATIOT, MI 48059-4157
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704285557
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2021
Last updated
03/11/2022
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