IndividualActive
Amy Jackson
NPI 1033587209 · Registered Nurse · Petoskey, MI
Provider details
- NPI number
- 1033587209
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704312816 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
1420 Plaza Dr
Petoskey, MI 49770-9420
Phone: (231) 347-7890
Approximate (ZIP-level) locationGet directions
Mailing address
1420 Plaza Dr
Petoskey, MI 49770-9420
Registry dates
- Enumerated
- 2015-09-04
- Last updated
- 2015-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.