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

SAMMIE JACKSON

Active

SAMMIE JACKSON is a Contractor healthcare provider located in ROCHESTER HILLS, Michigan. NPI 1568144285 is currently active in the NPPES registry. Verify at CMS.

Contractor · ROCHESTER HILLS, MI

Registration Details

NPI Number
1568144285
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2023 (3.0558279697123 yrs)
Last Updated
Feb 26, 2026
License
4704427575 (MI)

Practice Information

Address
1515 ASHTON DR
ROCHESTER HILLS, MI, 483092251
Browse MI providers · Browse ZIP 48309
Phone
2487104830
Primary Specialty
Contractor
171W00000X
Additional Specialty
Contractor
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.