| NPI | 1790490191 |
|---|---|
| Doing Business As | JACKSON HEALTH |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DAWN JACKSON Fnp/Owner 218-282-0457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-08-01 |