Individual
MS. JAKIE LYNN CONACHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 S TRUMBULL ST, BAY CITY, MI 48708-7692
(989) 922-5700
(989) 771-7050
Mailing address
4300 CASTLE DR, MIDLAND, MI 48640-3490
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704235146
MI
Other
Enumeration date
11/06/2019
Last updated
02/17/2021
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