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Racheal Rose Jamison
Family Nurse Practitioner in Port Huron, Michigan
NPI 1619633625

Racheal Rose Jamison is a Family Nurse Practitioner based in Fort Gratiot, MI and is specialized in Family. Racheal Rose Jamison practices in Port Huron, MI. The NPI Number for Racheal Rose Jamison is 1619633625 and holds a License No. (Michigan).

The current practice location address for Racheal Rose Jamison is 1979 Holland Ave Ste C, Port Huron, MI and can be reached out via phone at 810-982-1200.

Location: 1979 Holland Ave Ste C, Port Huron, MI, 48059-4157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619633625
Provider Name
Racheal Rose Jamison
Credential
Provider Entity Type
Individual
Gender
Female
Address
1979 Holland Ave Ste C, Port Huron, MI, 48059-4157
Phone Number
810-982-1200
Fax Number
Provider Enumeration Date
11/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1979 Holland Ave Ste C
City
Port Huron
State
Michigan
Zip
48060-8639
Phone Number
810-982-1200
Fax Number
person
Provider Business Mailing Address Details
Address
1979 Holland Ave Ste C
City
Port Huron
State
Michigan
Zip
48060-8639
Phone Number
810-982-1200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704285557 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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