Frankie Dijonnay Anna-Marie Jackson
Registered Nurse, General Practice in Detroit, MI. Individual provider (NPI-1).
NPI number1467042002
StatusActive
Last updated in NPPESJan 18, 2021
Details
- NPI
- 1467042002
- Entity type
- Individual (NPI-1)
- Name
- Frankie Dijonnay Anna-Marie Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2021
- Certification date
- Jan 18, 2021
- Last updated
- Jan 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 4704340918 | MI | Yes |
Practice location
2925 Russell StDetroit, MI 48207-4825
Phone 313-396-5300
Mailing address
2925 Russell StDetroit, MI 48207-4825
Phone 313-396-5300
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