Jill Anne Jackson
Case Manager/Care Coordinator in Van Buren Twp, MI. Individual provider (NPI-1).
NPI number1174266274
StatusActive
Last updated in NPPESApr 16, 2022
Details
- NPI
- 1174266274
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jill Anne Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2022
- Certification date
- Apr 16, 2022
- Last updated
- Apr 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
41951 Riggs RdVan Buren Twp, MI 48111-3082
Phone 734-755-4631
Mailing address
41951 Riggs RdVan Buren Twp, MI 48111-3082
Phone 734-755-4631
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