Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCIE JACKSON
Active Sole ProprietorMARCIE JACKSON is a Substance Abuse Psychiatric Nurse healthcare provider located in CANTON, Michigan. NPI 1871264309 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · CANTON, MI
Registration Details
- NPI Number
- 1871264309
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 23, 2021 (4.9301331824889 yrs)
- Last Updated
- Sep 23, 2021
- License
-
4704297558 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
43825 MICHIGAN AVECANTON, MI, 481882551Browse MI providers · Browse ZIP 48188
- Phone
- 7343973088
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
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.