Individual
JACILYN MEINOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704309226
MI
Other
Enumeration date
02/10/2017
Last updated
10/10/2019
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