Brooke Jackson, PA-C

NPI 1780493320 · on the registry since 2025

Practice

Address: 1501 S Center Rd Ste B
Burton, MI 48509
Phone: (810) 742-0225
Organisation at this address: Shukairy P.C.
Samir Basata Md
Abdul Tabbaa Md Pc
Samir Basata Md Pc
Khaled M Shukairy Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-12-10

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