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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEMELLEE PERPETUA JACALA-TADIAN, M.D.

Active

Family Medicine · VICKSBURG, MI

Registration Details

NPI Number
1669681748
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2007 (18.965376656943 yrs)
Last Updated
Oct 1, 2024
License
4301088607 (MI)

Practice Information

Address
13320 N BLVD
VICKSBURG, MI, 490971514
Browse MI providers · Browse ZIP 49097
Phone
2696492012
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in VICKSBURG, MI

Name Credential NPI
DR. DAVID J SCHRIEMER M.D. 1386648244
DR. KENNETH J FRANKLIN M.D. 1548261720
DR. KARL ROBERT KERCHIEF MD 1225029564
EVAN FITZGERALD MD 1831540350
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.