MRS. Elizabeth Anne Jackson, PMHNP
NPI #1073180535 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1073180535
- Entity Type
- Individual
- Name
- MRS. Elizabeth Anne Jackson, PMHNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- PMHNP
- Enumeration Date
- Jun 4, 2021
- Last Updated
- Jan 2, 2024
Practice Location
- Address
- 300 68TH ST SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49548-6927
- Phone
- (616) 455-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner |
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