| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ROBERT JACK FOX | 1710619119 | 2022-06-26 |
Robert Jack Fox is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710619119. Registration indicates Robert Jack Fox is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Robert Jack Fox |
| Practice Office Address | 1110 ELDON BAKER DR FLINT, MI US |
| Practice Office Telephone | 8107424968 |
| Mailing Address | 1110 ELDON BAKER DR FLINT, MI 485071923 US |
| Business Telephone | 8107424968 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 4704346137
MI |