Bryanna Jackson, | |
17200 E 10 Mile Rd, Eastpointe, MI 48021-3355 | |
(313) 324-2144 | |
Not Available |
Full Name | Bryanna Jackson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 17200 E 10 Mile Rd, Eastpointe, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639874282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703127352 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Bryanna Jackson, 17200 E 10 Mile Rd, Eastpointe, MI 48021-3355 Ph: (313) 324-2144 | Bryanna Jackson, 17200 E 10 Mile Rd, Eastpointe, MI 48021-3355 Ph: (313) 324-2144 |
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