Search › Michigan › 311ZA0620X
Jackline Andrew
NPI 1548155716 · on the registry since 2025 · sole proprietor
Practice
- Address
- 716 Idaho Ave
Portage, MI 49024 - Phone
- (616) 528-0138
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan