Individual provider · Type 1 NPI
Marcie Jackson
Adult Psychiatric/Mental Health Registered Nurse · Canton, MI
NPI number
1871264309
Active
Practice location
43825 Michigan Ave
Canton, MI 48188-2551
Mailing address
15115 Artesian St
Detroit, MI 48223-2282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 4704297558 (MI) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
133 other providers at this address
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About NPI 1871264309
Marcie Jackson's National Provider Identifier is 1871264309, issued on Sep 23, 2021. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Canton, MI. The record was last updated on Sep 23, 2021.