NPI 1003603481

Kassidy Jo Treacey

Practitioner Family Nurse Practitioner Jackson, MI

Practice location

Address: 505 N Jackson St, Jackson, MI 49201-1266
Phone: (517) 748-5500

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 4704352886 (MI)

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Registry record

NPI: 1003603481
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Apr 2025
Record last updated: 21 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.