NPI 1033314331
Michele D Jack, RN
Practice location
- Address
- 20 School St, Bradford, PA 16701-1257
- Phone
- (814) 362-7466
- Mailing address
- 17028 Route 6, Smethport, PA 16749-4024
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1033314331
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jun 2007
- Record last updated
- 8 Jul 2007
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.