Individual
HEATHER LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MSN
Contact information
Practice address
6050 STERLING CREEK RD, PORTAGE, IN 46368-7752
(219) 763-8112
(219) 764-5333
Mailing address
6050 STERLING CREEK RD, PORTAGE, IN 46368-7752
(219) 763-8112
(219) 764-5333
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
71010201A
IN
Other
Enumeration date
07/11/2020
Last updated
03/17/2025
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