GRACE ANNE JACEK FNP-BC NPI 1063742880

NPI Information

NPI: 1063742880
Provider Name: GRACE ANNE JACEK, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2845 BURNS ST
DEARBORN, MI
ZIP 48124
Phone: (313) 283-5034
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Grace Anne Jacek, FNP-BC is a family nurse practitioner in Dearborn, MI. Grace Anne Jacek, FNP-BC NPI is 1063742880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2845 BURNS ST
DEARBORN, MI
ZIP 48124-261
Phone: (313) 283-5034

The NPI 1063742880 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/29/2009 and was last updated on 12/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	4704191011	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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