Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KANIESHA EUNIQUE JACKSON
Active Sole ProprietorKANIESHA EUNIQUE JACKSON is a Bus healthcare provider located in AUBURN HILLS, Michigan. NPI 1093446767 is currently active in the NPPES registry. Verify at CMS.
Bus · AUBURN HILLS, MI
Registration Details
- NPI Number
- 1093446767
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2022 (4.1670505036605 yrs)
- Last Updated
- Jun 22, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 N SQUIRREL RD APT 1001AUBURN HILLS, MI, 483264025Browse MI providers · Browse ZIP 48326
- Phone
- 3137971034
- Primary Specialty
-
Bus
343900000X
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.