Jackson, Michelle Lee

Jackson, Michelle Lee is an individual health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. She recently has only one registered license in Nursing Service Providers / Emergency, which is considered as her primary health care specialty. Jackson, Michelle Lee can be contacted via phone (505) 722-1790.

Contact Information

Primary practice address
516 E Nizhoni Blvd Gallup NM 87301-5748
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 577517 Texas

Profile Details

NPI number 1386201598
LBN Legal business name Jackson, Michelle Lee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2019
Last updated May 22nd, 2019 - about 5 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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