Search › Michigan › 171W00000X
Sammie Jackson
NPI 1568144285 · on the registry since 2023
Practice
- Address
- 1515 Ashton Dr
Rochester Hills, MI 48309 - Phone
- (248) 710-4830
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Also registered as
- 163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-26
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