Provider Demographics
NPI:1235610924
Name:KAREK, JAMIE ACKERMAN (CNM, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ACKERMAN
Last Name:KAREK
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1651 W LAKE LANSING RD STE 300
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-6337
Mailing Address - Country:US
Mailing Address - Phone:517-253-3910
Mailing Address - Fax:517-253-3911
Practice Address - Street 1:1651 W LAKE LANSING RD STE 300
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6337
Practice Address - Country:US
Practice Address - Phone:517-253-3910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704266744367A00000X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty