Search › Michigan › 101YP1600X
Shantell M Jackson
NPI 1386598597 · on the registry since 2026 · sole proprietor
Practice
- Address
- 18256 Ashton Ave
Detroit, MI 48219 - Phone
- (313) 475-6685
Registry record
- Primary taxonomy
- 101YP1600X
101YP1600X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan