Healthcare Provider Details

I. General information

NPI: 1356135644
Provider Name (Legal Business Name): JALYN NICOLE SAXTON BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HANCOCK ST
SAGINAW MI
48602-4224
US

IV. Provider business mailing address

500 HANCOCK ST
SAGINAW MI
48602-4224
US

V. Phone/Fax

Practice location:
  • Phone: 989-797-3400
  • Fax: 989-799-0206
Mailing address:
  • Phone: 989-797-3400
  • Fax: 989-799-0206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704393485
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: