Marlene M Jackson, LPN
NPI #1013153386 in Chesterfield, Michigan
Provider Information
- NPI Number
- 1013153386
- Entity Type
- Individual
- Name
- Marlene M Jackson, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Dec 17, 2008
- Last Updated
- Dec 17, 2008
Practice Location
- Address
- 32743 23 MILE RD
- City
- Chesterfield
- State
- Michigan
- ZIP Code
- 48047-1985
- Phone
- (586) 716-1047
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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