Jackson, Michelle

Jackson, Michelle is an individual health care provider with primary practice located at 1024 S Lemay Ave , Fort Collins CO 80524-3929. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Jackson, Michelle can be contacted via phone (970) 495-7000.

Contact Information

Primary practice address
1024 S Lemay Ave Fort Collins CO 80524-3929
Phone: (970) 495-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X APN.0990975-NP Colorado

Profile Details

NPI number 1871923540
LBN Legal business name Jackson, Michelle
Credentials NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2013
Last updated Jun 16th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871923540 NPPES
Colorado MEDICAID 14334763

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