Jackson, Michelle Lynn

Jackson, Michelle Lynn is an sole proprietor health care provider with primary practice located at 456 Circle Dr , Kewanee IL 61443-3622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Michelle Lynn can be contacted via phone (309) 525-3256.

Contact Information

Primary practice address
456 Circle Dr Kewanee IL 61443-3622
Phone: (309) 525-3256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 209.019281 Illinois

Profile Details

NPI number 1790347722
LBN Legal business name Jackson, Michelle Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2019
Last updated Jun 29th, 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.

Request for update

Popular Providers