What is Geraldine Jack's NPI number?

Geraldine Jack's National Provider Identifier (NPI) is 1649574021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Geraldine Jack's specialty?

Geraldine Jack is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Geraldine Jack located?

Geraldine Jack's practice location on file with NPPES is 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336.

What is Geraldine Jack's phone number?

The practice phone number listed in the NPPES registry for Geraldine Jack is (616) 450-6482.

Is Geraldine Jack's NPI active?

Yes — Geraldine Jack's NPI (1649574021) is active in the NPPES registry as of the last update on 2021-08-23.

IndividualActive

Geraldine Jack, BS, ETS

NPI 1649574021 · Specialist · Grand Rapids, MI

Geraldine Jack, BS, ETS is a Specialist provider in Grand Rapids, MI (NPI 1649574021).

Provider details

NPI number: 1649574021
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: BS, ETS
Sex: Female
Sole proprietor: No

Specialties & taxonomies

SpecialistPrimary174400000XLicense 000000 (MI)
Other Service Providers
Specialist174400000X
Other Service Providers

Profile Score

Detailed profile(76/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1490 E Beltline Ave Se

Grand Rapids, MI 49506-4336

Phone: (616) 450-6482

Street-level locationGet directions

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Mailing address