person
Mrs. Heidi Jackson, PA
Medical Physician Assistant in Muskegon, Michigan
NPI 1467486340

Heidi Jackson is a Medical Physician Assistant based in Muskegon, MI and is specialized in Medical. Heidi Jackson practices in Muskegon, MI and has the professional credentials of PA. The NPI Number for Heidi Jackson is 1467486340 and holds a License No. 5601004005 (Michigan).

The current practice location address for Heidi Jackson is 1700 Clinton St, Muskegon, MI and can be reached out via phone at 231-728-5692 and via fax at 231-728-4017.

Location: 1700 Clinton St, Muskegon, MI, 49443-1847
person
Provider Profile Details
NPI Number
1467486340
Provider Name
Heidi Jackson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1700 Clinton St, Muskegon, MI, 49443-1847
Phone Number
231-728-5692
Fax Number
231-728-4017
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MI1763007 01 MI MEDICARE
institution
Provider Business Practice Location Address Details
Address
1700 Clinton St
City
State
Zip
49442-5502
Phone Number
231-728-5692
Fax Number
231-728-4017
person
Provider Business Mailing Address Details
Address
1700 Clinton St
City
State
Zip
49442-5502
Phone Number
231-728-5692
Fax Number
231-728-4017
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601004005 (Michigan)
Definition
Definition to come...
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