MRS. EDNA JACKSON, RN

Registered Nurse - Administrator

Active Individual
NPI: 1114097870

Practice Address

2395 W GRAND BLVD
Detroit, MI 48208

Phone: (313) 897-2061

Specialties

Specialty Code Primary License
Registered Nurse - Administrator 163WA2000X Yes 4704118498 (MI)

Frequently Asked Questions

NPI 1114097870 is the National Provider Identifier for MRS. EDNA JACKSON, RN, a Registered Nurse - Administrator provider located in Detroit, MI. This NPI was enumerated on November 9, 2006.
MRS. EDNA JACKSON, RN practices at 2395 W GRAND BLVD, Detroit, MI 48208.

Quick Facts

NPI
1114097870
Type
Individual
Enumerated
Nov 9, 2006
Last Updated
Jul 8, 2007

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