Jessica Ackerson
Driver in Cadillac, MI. Individual provider (NPI-1).
NPI number1437540887
StatusActive
Last updated in NPPESFeb 6, 2015
Details
- NPI
- 1437540887
- Entity type
- Individual (NPI-1)
- Name
- Jessica Ackerson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2015
- Last updated
- Feb 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
7454 E 34 RdCadillac, MI 49601-7012
Phone 231-735-9920
Mailing address
7454 E 34 RdCadillac, MI 49601-7012
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