Jackson, Jaclyn

Jackson, Jaclyn is an individual health care provider with primary practice located at 5259 Evergreen Dr , Monroe MI 48161-3690. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Jaclyn can be contacted via phone (734) 770-7318.

Contact Information

Primary practice address
5259 Evergreen Dr Monroe MI 48161-3690
Phone: (734) 770-7318
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703115148 Michigan

Profile Details

NPI number 1306228978
LBN Legal business name Jackson, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2015
Last updated Jun 19th, 2015 - about 10 years 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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