Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Geraldine Marie Jack, BS, ETS

Individual provider Specialist · NPI 1649574021

Geraldine Marie Jack, BS, ETS is a Specialist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

1490 E Beltline Ave SE
Grand Rapids, MI 49506-4336
Phone: (616) 450-6482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 000000 (MI)
Specialist Taxonomy 174400000X

Record details

NPI number1649574021
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS , ETS
Sole proprietorNo
NPI enumeratedDecember 29, 2010
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336

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