person
Justin Jickess
Student in an Organized Health Care Education/Training Program in Ypsilanti, Michigan
NPI 1245934678

Justin Jickess is a Student in an Organized Health Care Education/Training Program based in Canfield, MI. Justin Jickess practices in Ypsilanti, MI. The NPI Number for Justin Jickess is 1245934678 and holds a License No. (Michigan).

The current practice location address for Justin Jickess is 5333 Mcauley Drive, Ypsilanti, MI and can be reached out via phone at 734-712-3971.

Location: 5333 Mcauley Drive, Ypsilanti, MI, 44406-9643
person
Provider Profile Details
NPI Number
1245934678
Provider Name
Justin Jickess
Credential
Provider Entity Type
Individual
Gender
Male
Address
5333 Mcauley Drive, Ypsilanti, MI, 44406-9643
Phone Number
734-712-3971
Fax Number
Provider Enumeration Date
03/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5333 Mcauley Drive
City
State
Zip
48197-8633
Phone Number
734-712-3971
Fax Number
person
Provider Business Mailing Address Details
Address
5333 Mcauley Drive
City
State
Zip
48197-8633
Phone Number
734-712-3971
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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