NPI 1013557453

Kailee Nisonger

Practitioner Dental Hygienist Jackson, MI

Practice location

Address: 122 Highland Dr, Jackson, MI 49201-9164
Phone: (517) 740-7422
Fax: (517) 315-4918

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2902017458 (MI)

Other Dental Hygienist providers in Michigan →

Registry record

NPI: 1013557453
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2020
Record last updated: 14 Jan 2020

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.