NPI 1003513417
Merissa Jackson
Practice location
- Address
- 1440 E Empire Ave, Benton Harbor, MI 49022-2020
- Phone
- (269) 487-9820
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1003513417
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Feb 2023
- Record last updated
- 15 Feb 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.