Individual
DR. BARBARA RAE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1101 HEALTH PROFESSIONS BLDG, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-2405
Mailing address
1101 HEALTH PROFESSIONS BLDG, MT PLEASANT, MI 48859-0001
(989) 774-3904
(989) 774-2405
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601000284
LICENSE
MI
Enumeration date
12/22/2006
Last updated
02/18/2013
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