Individual provider · Type 1 NPI
Frankie Dijonnay Anna-Marie Jackson
General Practice Registered Nurse · Detroit, MI
NPI number
1467042002
Active
Practice location
2925 Russell St
Detroit, MI 48207-4825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 4704340918 (MI) |
General Practice Registered Nurse: Definition to come...
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About NPI 1467042002
Frankie Dijonnay Anna-Marie Jackson's National Provider Identifier is 1467042002, issued on Jan 18, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Detroit, MI. The record was last updated on Jan 18, 2021.