Individual provider · Type 1 NPI
Madeline Patricia Jackson, CNIM
Electroneurodiagnostic Specialist/Technologist · Canton, MI
NPI number
1407688583
Active
Practice location
43754 Brandywyne Rd
Canton, MI 48187-2242
Mailing address
550 N Central Expy Unit 2586
Mckinney, TX 75070-0139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | None listed |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
About NPI 1407688583
Madeline Patricia Jackson, CNIM's National Provider Identifier is 1407688583, issued on Aug 16, 2024. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Canton, MI. The record was last updated on Sep 8, 2024.