Jackson, Jessica Glenn

Jackson, Jessica Glenn is an individual health care provider with primary practice located at 5635 W Fort St , Detroit MI 48209-3154. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Jackson, Jessica Glenn can be contacted via phone (313) 849-3920.

Contact Information

Primary practice address
5635 W Fort St Detroit MI 48209-3154
Phone: (313) 849-3920
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704267739 Michigan
Other Service Providers / Midwife 176B00000X 4704267739 Michigan

Profile Details

NPI number 1336485408
LBN Legal business name Jackson, Jessica Glenn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2012
Last updated Oct 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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