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NPI 1992664569

IndividualActive

Karen Johnston Jackson

NPI 1992664569 · Oncology Registered Nurse · Traverse City, MI

Provider details

NPI number: 1992664569
Entity type: Individual
Primary specialty: Oncology Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 4704210922 (MI)

Practice location

217 S Madison St

Traverse City, MI 49684-2321

Phone: (231) 392-8400

Fax: (231) 392-8400

More MI providers

Mailing address

217 S Madison St

Traverse City, MI 49684-2321

Registry dates

Enumerated: 2026-01-20
Last updated: 2026-01-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Karen Johnston Jackson — NPI 1992664569, Traverse City, MI | NPI Central