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Alicia Jackson
NPI 1841087566 · on the registry since 2025 · sole proprietor
Practice
- Address
- 5111 Auto Club Dr Ste 112
Dearborn, MI 48126 - Phone
- (248) 222-1148
- Organisation at this address
- Jawad A Shah Md Pc
Triple-M Medical Inc
Henry Ford Health System
Henry Ford Health System
Eastwood Community ClinicsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 111
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2025-05-06
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