Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MONIQUE JACKSON
ActiveMONIQUE JACKSON is a Gerontology Occupational Therapist healthcare provider located in DETROIT, Michigan. NPI 1871049684 is currently active in the NPPES registry. Verify at CMS.
Gerontology Occupational Therapist · DETROIT, MI
Registration Details
- NPI Number
- 1871049684
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 31, 2016 (9.9886257977236 yrs)
- Last Updated
- Aug 31, 2016
- License
-
5202005667 (MI)
Practice Information
- Address
-
21630 JESSEL AVEDETROIT, MI, 48219Browse MI providers · Browse ZIP 48219
- Phone
- 8552139980
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
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.