Michele D Jack, RN
NPI #1033314331 in Bradford, Pennsylvania
Provider Information
- NPI Number
- 1033314331
- Entity Type
- Individual
- Name
- Michele D Jack, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Jun 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 20 SCHOOL ST
- City
- Bradford
- State
- Pennsylvania
- ZIP Code
- 16701-1257
- Phone
- (814) 362-7466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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