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Amy Jackson
NPI 1992188239 · on the registry since 2015
Practice
- Address
- 721 N Center Dr Nw
Grand Rapids, MI 49544 - Phone
- (616) 301-8000
Additional practice sites
- 414 S Burdick St, Kalamazoo, MI
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
1041C0700X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-11-08
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