Jessica Glenn Jackson, CNM is a
Midwife based in Detroit, Michigan. Jessica Glenn Jackson is licensed to practice in Michigan (license number 4704267739) and her current practice location is
5635 W Fort St, Detroit, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 849-3920.
NPI number for Jessica Glenn Jackson is 1336485408 and her current mailing address is 5635 W Fort St, Detroit, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336485408.
Provider's Profile
Full Name | Jessica Glenn Jackson |
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Gender | Female |
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Speciality | Midwife |
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Location | 5635 W Fort St, Detroit, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336485408
- Provider Enumeration Date: 12/18/2012
- Last Update Date: 10/25/2022
Medical Identifiers
Medical identifiers for Jessica Glenn Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336485408 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 4704267739 (Michigan) | Secondary |
176B00000X | Midwife | 4704267739 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Glenn Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Glenn Jackson, CNM 5635 W Fort St, Detroit, MI 48209-3154 Ph: (313) 849-3920 | Jessica Glenn Jackson, CNM 5635 W Fort St, Detroit, MI 48209-3154 Ph: (313) 849-3920 |
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