NPI 1003681560
Shelby Jackson
Practice location
- Address
- 17920 Winsome, Fraser, MI 48026-3168
- Phone
- (313) 422-5832
- Mailing address
- 40583 Canterbury Dr, Clinton Township, MI 48038-7120
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1003681560
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Nov 2023
- Record last updated
- 15 Nov 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.