Individual provider · Type 1 NPI
Dejuana Cherise Jackson, NP
Family Nurse Practitioner · Canton, MI
NPI number
1568548436
Active
Practice location
1051 N Canton Center Rd
Canton, MI 48187-5097
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Other practice locations
- 1500 East Medical Center Dr, B1 Floor Cancer & Geriatrics Ctr Recp B, Ann Arbor, MI 48109-0912 · (734) 936-9015
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704239536 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704239536 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1568548436
Dejuana Cherise Jackson, NP's National Provider Identifier is 1568548436, issued on Oct 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Canton, MI. The record was last updated on Oct 30, 2025.