Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAYTON JACKSON III
Active Sole ProprietorPAYTON JACKSON III is a Community/Behavioral Health healthcare provider located in DETROIT, Michigan. NPI 1609316777 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · DETROIT, MI
Registration Details
- NPI Number
- 1609316777
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2017 (9.4654384398514 yrs)
- Last Updated
- Mar 8, 2017
- License
-
251S00000X (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
445 LEDYARD STDETROIT, MI, 482012641Browse MI providers · Browse ZIP 48201
- Phone
- 3139629446
- Fax
- 3139626395
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| CHARLES DAVID SANDISON | — | 1528350535 |
| TASMIYAH GASKINS | RN | 1285972125 |
| ANA ASFAR | — | 1992121990 |
| PATRICIA MURRAY | RN | 1265819494 |
| MR. ERIC SMITH | — | 1811370919 |
| MR. DANIEL GARDNER-MORIN | LPN | 1114394822 |
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.