NPI 1023592227

Jamie Nicole Trudell, PAC

Practitioner Physician Assistant Jackson, MI

Practice location

Address: 205 N East Ave, Jackson, MI 49201-1753
Phone: (517) 205-4811
Mailing address: 37000 Grand River Ave STE 120, Farmington Hills, MI 48335-2868

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601008837 (MI)

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Registry record

NPI: 1023592227
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2018
Record last updated: 4 Sep 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.