Most Relevant Information
Provider Data
| NPI Number: | 1003464165 |
| Provider Name: | TAMMY SUE JURGESS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704242122 |
Most Important Dates
| Enumeration Date: | 08/30/2019 |
| Last Updated: | 05/24/2023 |
Provider Practice Location
130 MILLWOOD ST
CARO
MI
487231630
Practice Location Phone/Fax
| Phone: | 9896721555 |
| Fax: | 9896721560 |
Provider Mailing Location
860 HURON CREST DR
BAD AXE
MI
484137908
Provider Mailing Phone/Fax
| Phone: | 9893151497 |
| Fax: |