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

Jacqueline Derose

Individual provider Rehabilitation Practitioner · NPI 1194189977

Jacqueline Derose is a Rehabilitation Practitioner in East Lansing, Michigan. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

2775 E Lansing Dr
East Lansing, MI 48823-7755
Phone: (517) 332-1616
Fax: (517) 332-1538
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1194189977
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2016
Last updated in NPPESApril 7, 2016

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