Jackson, Edna Ruth

Jackson, Edna Ruth is an individual health care provider with primary practice located at 2395 W Grand Blvd , Detroit MI 48208-1210. She recently has only one registered license in Nursing Service Providers / Administrator, which is considered as her primary health care specialty. Jackson, Edna Ruth can be contacted via phone (313) 897-2061.

Contact Information

Primary practice address
2395 W Grand Blvd Detroit MI 48208-1210
Phone: (313) 897-2061
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Administrator 163WA2000X 4704118498 Michigan

Profile Details

NPI number 1114097870
LBN Legal business name Jackson, Edna Ruth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 8th, 2007 - about 19 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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