Individual
MS. NANCY LOUISE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9408 VAN ANTWERP RD, BRIGHTON, MI 48116-6245
(810) 231-0207
(801) 231-1693
Mailing address
9408 VAN ANTWERP RD, BRIGHTON, MI 48116-6245
(810) 231-0207
(801) 231-1693
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704159337
MI
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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