Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARLENA RENEE JACKSON
ActiveMARLENA RENEE JACKSON is a Driver healthcare provider located in BROWNSTOWN, Michigan. NPI 1568019453 is currently active in the NPPES registry. Verify at CMS.
Driver · BROWNSTOWN, MI
Registration Details
- NPI Number
- 1568019453
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2019 (6.9830630600392 yrs)
- Last Updated
- Aug 24, 2019
- License
-
P655585734802 (MI)
Practice Information
- Address
-
26967 CARLY DRBROWNSTOWN, MI, 481742539Browse MI providers · Browse ZIP 48174
- Phone
- 3132056617
- Primary Specialty
-
Driver
172A00000X
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.