Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS ELAINE MAE JACKSON
Active Sole ProprietorMISS ELAINE MAE JACKSON is a Public Health / General Public Health healthcare provider located in TWO HARBORS, Minnesota. NPI 1548628860 is currently active in the NPPES registry. Verify at CMS.
Public Health / General Public Health · TWO HARBORS, MN
Registration Details
- NPI Number
- 1548628860
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2016 (10.576487702325 yrs)
- Last Updated
- Feb 1, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
426 1ST AVETWO HARBORS, MN, 556161614Browse MN providers · Browse ZIP 55616
- Phone
- 2183432308
- Fax
- 2188342918
- Primary Specialty
-
Public Health / General Public Health
251K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.