Anderson, Jaclyn Nicole
Anderson, Jaclyn Nicole is an individual health care provider with primary practice located at 5333 Mcauley Drive , Ypsilanti MI 48197. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Anderson, Jaclyn Nicole can be contacted via phone (734) 712-3971.Contact Information
Primary practice address
5333 Mcauley Drive
Ypsilanti MI 48197
Phone: (734) 712-3971
Fax: (734) 887-8941
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601007235 | Michigan |
Profile Details
NPI number | 1477950095 |
---|---|
LBN Legal business name | Anderson, Jaclyn Nicole |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 25th, 2014 |
Last updated | Jan 2nd, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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