GRACE ANNE JACEK FNP-BC NPI 1063742880

NPI Information

  • NPI: 1063742880
  • Provider Name: GRACE ANNE JACEK, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2845 BURNS ST
    DEARBORN, MI
    ZIP 48124
  • Phone: (313) 283-5034

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NPI Details

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 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
1363LF0000XNurse PractitionerFamily4704191011MICHIGANYes

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: 11/21/2025

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