Jackson, Debbie

Jackson, Debbie is an sole proprietor health care provider with primary practice located at 12800 E Warren Ave , Detroit MI 48215-2061. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Debbie can be contacted via phone (313) 824-8000.

Contact Information

Primary practice address
12800 E Warren Ave Detroit MI 48215-2061
Phone: (313) 824-8000
Fax: (313) 824-5589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703108555 Michigan

Profile Details

NPI number 1376941187
LBN Legal business name Jackson, Debbie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2014
Last updated Dec 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376941187 NPPES
Michigan Other 4703108555 LPN LICENSE

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