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GRACE ANNE JACEK FNP-BC
NPI 1063742880
Nurse Practitioner - Family in Dearborn, MI

Active since December 29, 2009
2845 BURNS ST, DEARBORN, MI 48124(313) 283-5034 Get Directions Write a Review

NPPES record last updated: December 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Anne Jacek Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE ANNE JACEK FNP-BC (NPI 1063742880) is an individual family provider in Dearborn, Michigan, licensed in Michigan (4704191011) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1063742880
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE ANNE JACEKCredential: FNP-BC
Location Address2845 BURNS STDearborn, MI 48124-3261
Mailing Address2845 Burns StDearborn, MI 48124-3261 · (313) 283-5034
Phone(313) 283-5034
Sole ProprietorNo
Enumeration DateDecember 29, 2009
✔ NPI 1063742880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704191011
2845 BURNS ST, Dearborn, MI 48124
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Jacek's NPI number?

The NPI number for Grace Jacek is 1063742880. It was assigned to this individual provider in the NPPES registry on December 29, 2009.

Where is Grace Jacek located?

Grace Jacek practices at 2845 Burns St, Dearborn, MI 48124. The listed phone number is (313) 283-5034.

What is Grace Jacek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Grace Jacek was last updated on December 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.