HEATHER LEE JACKSON

CROWN POINT, IN
NPI1669090049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: IN  71010201A)
Additional Taxonomies367A00000X Advanced Practice Midwife
Enumeration Date2020-07-11
Last Update Date2023-09-11
Business Address
HEATHER LEE JACKSON CNM, MSN
12800 MISSISSIPPI PKWY STE B200
CROWN POINT, IN 46307-6900
Phone number: 219-757-5890
Mailing Address
HEATHER LEE JACKSON CNM, MSN
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800