Individual provider · Type 1 NPI

Cheryl Jackson, CNP

Pediatric Nurse Practitioner · Detroit, MI

NPI number 1053431817 Active

Practice location

3980 John R
Detroit, MI 48201

Mailing address

3980 John R Hut Peds
Detroit, MI 48201

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704140782 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1053431817

Cheryl Jackson, CNP's National Provider Identifier is 1053431817, issued on Mar 29, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.