Sammie Allison Jaskowiak

Individual provider Active NPI Home Health Registered Nurse · Lawrence, MI

NPI 1871346262 · NPPES record last updated Apr 8, 2024

Key facts

NPI
1871346262
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
7575335 (MI)
Practice address
325 South St Apt 109
Lawrence, MI 49064-9530
Phone
(269) 264-2675
NPI assigned
Apr 8, 2024
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

LicenseStateTypeSpecialty
7575335MIMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 7575335 MI Yes

Addresses

Primary practice location

325 South St Apt 109
Lawrence, MI 49064-9530

Mailing address

325 South St Apt 202
Lawrence, MI 49064-9532
Phone (269) 264-2675

Other practice location 1

325 South St Apt 102
Lawrence, MI 49064-9532
Phone (269) 209-0843

Other providers in Lawrence, MI

All providers in Lawrence, MI · Home Health Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.