Search › Michigan › 363LF0000X
Rashawn Jackson, FNP-C
NPI 1518612373 · on the registry since 2022
Practice
- Address
- 1500 Eureka Rd
Wyandotte, MI 48192 - Phone
- (734) 282-2500
- Fax
- (734) 282-6397
- Organisation at this address
- Michael W. Whitworth Do Pc
Optimum Pathology Services Pllc
Advanced Dermatology Of Michigan PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 900 Mohawk St Ste E, Savannah, GA
- 26400 W 12 Mile Rd, Southfield, MI
- 13450 E 12 Mile Rd, Warren, MI
- 16826 Newburgh Rd, Livonia, MI
- 13717 23 Mile Rd, Shelby Twp, MI
- 48801 Romeo Plank Rd Ste 103b, Macomb, MI
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- MI, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-08
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