Search › Michigan › 164W00000X
Diana Jackson, L.P.N
NPI 1962631424 · on the registry since 2009
Practice
- Address
- 6628 Crescent Grn
West Bloomfield, MI 48322 - Phone
- (248) 592-9803
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
- 2009-07-06
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