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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAMIKA JACKSON

Active Sole Proprietor

TAMIKA JACKSON is a Foot & Ankle Surgery healthcare provider located in SOUTHFIELD, Michigan. NPI 1003668203 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · SOUTHFIELD, MI

Registration Details

NPI Number
1003668203
Provider Type
Individual
Gender
Female
NPI Issued
Apr 2, 2024 (2.3982361074222 yrs)
Last Updated
Apr 2, 2024
Sole Proprietor
Yes

Practice Information

Address
24123 GREENFIELD RD # 311207
SOUTHFIELD, MI, 480753125
Browse MI providers · Browse ZIP 48075
Phone
3134574114
Primary Specialty
Foot & Ankle Surgery
3747P1801X
Additional Specialty
Adult Day Care Facility
Additional Specialty
Assisted Living Facility
Additional Specialty
Chore Provider

Other Foot & Ankle Surgery Providers in SOUTHFIELD, MI

Name Credential NPI
MS. MAVIS GAIL POOKRUM 1386114742
TANESHA SHAWNTAY SMITH 1982277679
LANETTE LAJUNE GRIFFIN 1760279517
MRS. ATANGIA BOWMAN 1922996750
MIAKILA ONIRA HARRIS 1427900760
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.