SearchMichigan374U00000X

Jacquis Coulter

NPI 1649151184 · on the registry since 2025 · sole proprietor

Practice

Address
18048 Keystone St
Detroit, MI 48234
Phone
(313) 974-1544

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-10

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