Search › Michigan › 171M00000X
Courtney Jackson
NPI 1548789571 · on the registry since 2017
Practice
- Address
- 41521 W 11 Mile Rd # Nov
Novi, MI 48375 - Phone
- (248) 299-0030
- Clinicians at this address
- 19
Additional practice sites
- 1010 E West Maple Rd, Walled Lake, MI
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-01
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