SearchMichigan101YM0800X

Karen Jackson

NPI 1417402603 · on the registry since 2016

Practice

Address
6564 Crescent Grn
West Bloomfield, MI 48322
Phone
(313) 695-3469

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-05

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