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NPI Profile for JACKILYN D ALVERSON in EAST LANSING, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner |
| NPI Number | 1457930349 |
|
| Status | Active | |
| Credentials | AGACNP | |
| Entity | Individual | |
| Enumeration date | 04/07/2021 | |
| Last updated | 11/05/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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JACKILYN D ALVERSON
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JACKILYN D ALVERSON, AGACNP