Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GERALDINE MARIE JACK, BS, ETS
ActiveGERALDINE MARIE JACK, BS, ETS is a Specialist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1649574021 is currently active in the NPPES registry. Verify at CMS.
Specialist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1649574021
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2010 (15.613302007966 yrs)
- Last Updated
- Aug 23, 2021
- License
-
000000 (MI)
Practice Information
- Address
-
1490 E BELTLINE AVE SEGRAND RAPIDS, MI, 495064336Browse MI providers · Browse ZIP 49506
- Phone
- 6164506482
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM GENE HEERINGA | M.D. | 1326043829 |
| DR. STEVEN A. CRANE | M.D. | 1316942816 |
| DR. MARTIN P. GREYDANUS | M.D. | 1043215544 |
| DR. KENNETH S. LOWN | M.D. | 1689679185 |
| DR. PAUL O. FARR | M.D. | 1790781987 |
| DR. STEPHEN T. WEBSTER | M.D. | 1245236439 |
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.