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

Mrs. Sandra Kay Raby, GNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1043472509

Mrs. Sandra Kay Raby, GNP-BC is a Nurse Practitioner in Jackson, Michigan. Qualified in 1992, 34 years ago. Licensed in Michigan.

Years since qualifying
34
Licensed in
MI
In the registry since
2008
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Practice location Address checks out

100 E Michigan Ave Ste 102
Jackson, MI 49201-1406
Phone: (517) 205-1731
Fax: (517) 205-7649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704138831 (MI)

Record details

NPI number1043472509
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP-BC
Sole proprietorNo
NPI enumeratedJune 26, 2008
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated

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