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

JENNA NURA JACKSON, PA-C

Active Sole Proprietor

JENNA NURA JACKSON, PA-C is a Physician Assistant healthcare provider located in HAZEL PARK, Michigan. NPI 1023610151 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · HAZEL PARK, MI

Registration Details

NPI Number
1023610151
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2020 (5.5679357741382 yrs)
Last Updated
Dec 1, 2020
License
5601010079 (MI)
Sole Proprietor
Yes

Practice Information

Address
624 E 9 MILE RD
HAZEL PARK, MI, 480301842
Browse MI providers · Browse ZIP 48030
Phone
2486297497
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in HAZEL PARK, MI

Name Credential NPI
SALY ARABO P.A. 1790123107
KATIE GUO ZHONG PA-C 1922605120
LISA HIU NG PA-C 1962173625
MARIA NADIA NELSON MS, PA-C 1538860960
MRS. BERNADETTE B AWOSIKA PA 1518640788
TOSHA LESONSKY 1851120547
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.