Jackie Jo Garcia
Individual provider Active NPI Registered Nurse · Mount Morris, MI
NPI 1083010987 · NPPES record last updated Nov 5, 2014
Key facts
- NPI
- 1083010987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704298251 (MI)
- Practice address
- 6116 E Frances Rd
Mount Morris, MI 48458-9728 - Phone
- (810) 610-4919
- NPI assigned
- Nov 5, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704298251 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704298251 | MI | Yes |
Addresses
Primary practice location
6116 E Frances Rd
Mount Morris, MI 48458-9728
Mailing address
6116 E Frances Rd
Mount Morris, MI 48458-9728
Phone (810) 610-4919
Other providers in Mount Morris, MI
- James Fields Jr.
- Shane Flesher
- Jonese Fox
- Frances Specialized Residential, LLC
- Diane Fuller
- Danielle Nicole Gatewood- Evans
- Genesys Integrated Group Practice PC
- Gill Case Management
- Lauren Golden
- Tierra Gordon
All providers in Mount Morris, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.