MS. CATHERINE BROCK JACKMAN ACNS-BC NPI 1689378804

NPI Information

NPI: 1689378804
Provider Name: MS. CATHERINE BROCK JACKMAN, ACNS-BC
Classification: Clinical Nurse Specialist - 364SC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
2799 W GRAND BLVD
DETROIT, MI
ZIP 48202
Phone: (313) 806-3269
Get Directions

MS. Catherine Brock Jackman, ACNS-BC is a critical care medicine clinical nurse specialist in Detroit, MI. MS. Catherine Brock Jackman, ACNS-BC NPI is 1689378804. 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:

2799 W GRAND BLVD
DETROIT, MI
ZIP 48202-608
Phone: (313) 806-3269

The enumeration date for this NPI number is 3/30/2023 and was last updated on 3/30/2023.

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	364SC0200X	Clinical Nurse Specialist	Critical Care Medicine	4704135938	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: 5/5/2024

NPI Synchronization or Removal

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