Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL JACKSON, D.O.
ActivePAUL JACKSON, D.O. is a Family Medicine healthcare provider located in LIVONIA, Michigan. NPI 1053391342 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LIVONIA, MI
Registration Details
- NPI Number
- 1053391342
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 20, 2006 (20.555127874737 yrs)
- Last Updated
- Mar 25, 2021
- License
-
5101012453 (MI)
Practice Information
- Address
-
17800 NEWBURGH RDSUITE 103LIVONIA, MI, 481522700Browse MI providers · Browse ZIP 48152
- Phone
- 7344649540
- Fax
- 7344640438
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LIVONIA, MI
| Name | Credential | NPI |
|---|---|---|
| WILLIAM PAUL PENN | D.O. | 1740287812 |
| JAMES SCOTT BOAL | M.D. | 1992703672 |
| SUDHA CHAKRAVARTY | MD | 1205823069 |
| DR. MARY JANET KNAPP | DO | 1952388654 |
| STACY LYNN SMITH | MD | 1093792186 |
| J.ADAM KELLMAN | D.O. | 1386624187 |
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.