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Mrs. Elizabeth Anne Jackson, PMHNP
Nurse Practitioner in Grand Rapids, Michigan
NPI 1073180535

Elizabeth Anne Jackson is a Nurse Practitioner based in Grand Rapids, MI. Elizabeth Anne Jackson practices in Grand Rapids, MI and has the professional credentials of PMHNP. The NPI Number for Elizabeth Anne Jackson is 1073180535 and holds a License No. 4704280272 (Michigan).

The current practice location address for Elizabeth Anne Jackson is 300 68Th St Se, Grand Rapids, MI and can be reached out via phone at 616-455-5000.

Location: 300 68Th St Se, Grand Rapids, MI, 49548-6927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073180535
Provider Name
Elizabeth Anne Jackson
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
300 68Th St Se, Grand Rapids, MI, 49548-6927
Phone Number
616-455-5000
Fax Number
Provider Enumeration Date
06/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 68Th St Se
City
Grand Rapids
State
Michigan
Zip
49548-6927
Phone Number
616-455-5000
Fax Number
person
Provider Business Mailing Address Details
Address
300 68Th St Se
City
Grand Rapids
State
Michigan
Zip
49548-6927
Phone Number
616-455-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704280272 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
4704280272 (Michigan)
Definition
Definition to come...
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