| Debbie Jackson, LPN | |
|
12800 E Warren Ave, Detroit, MI 48215-2061 | |
| (313) 824-8000 | |
| (313) 824-5589 |
| Full Name | Debbie Jackson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 12800 E Warren Ave, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376941187 | NPI | - | NPPES |
| 4703108555 | Other | MI | LPN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703108555 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Debbie Jackson, LPN 12800 E Warren Ave, Detroit, MI 48215-2061 Ph: (313) 824-8000 | Debbie Jackson, LPN 12800 E Warren Ave, Detroit, MI 48215-2061 Ph: (313) 824-8000 |
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