Jackie B Michael-Havens, NP

NPI #1548701600 in Brookings, Oregon

Provider Information

NPI Number
1548701600
Entity Type
Individual
Name
Jackie B Michael-Havens, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Mar 9, 2017
Last Updated
Sep 3, 2020

Practice Location

Address
500 5TH ST
State
Oregon
ZIP Code
97415-9702
Phone
(541) 412-2000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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