Jackson, Lesley Tyesha

Jackson, Lesley Tyesha is an individual health care provider with primary practice located at 900 Cooper St , Jackson MI 49202-3398. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Lesley Tyesha can be contacted via phone (800) 379-1600.

Contact Information

Primary practice address
900 Cooper St Jackson MI 49202-3398
Phone: (800) 379-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704244746 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704244746 Michigan

Profile Details

NPI number 1326286964
LBN Legal business name Jackson, Lesley Tyesha
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2009
Last updated Aug 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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