NPI 1033535356
Denise Jackson, MALLPC
Practice location
- Address
- 22170 W 9 Mile Rd, Southfield, MI 48033-6007
- Phone
- (248) 372-6855
- Fax
- (248) 447-4704
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1033535356
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Mar 2014
- Record last updated
- 17 Oct 2022
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.