SearchMichigan164W00000X

Joy Jackson, LPN

NPI 1801932090 · on the registry since 2007

Practice

Address
19193 Mansfield St
Detroit, MI 48235
Phone
(313) 272-1052
Fax
(313) 272-2289

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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