NPI 1972500536 · live from the CMS NPI Registry
Colleen Chadderton, RNC, MSN, CPNP
Nurse Practitioner, Pediatrics in Jackson, MI. National Provider Identifier 1972500536, active.
NPI record
| NPI | 1972500536 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 760 W Franklin St, Jackson, MI 49201 |
| Practice phone | 517-780-9260 |
| Enumerated | June 28, 2005 |
| Last updated | June 7, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704105291 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.