Gaynella Jackson, LMSW

NPI 1154445138 · on the registry since 2007 · sole proprietor

Practice

Address: 20700 Civic Center Dr
Suite 170
Southfield, MI 48076
Phone: (248) 569-9846
Fax: (248) 569-1919
Organisation at this address: Brightview Care Llc
Elk Medical Equipment
Kimberly Maternity Llc
Gayle Walls-Brown Pllc
Jackson Innovations Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 140

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-09

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