Female

Qiana Jackson

Community Health Worker in Southfield, MI(View on Map)

Full Name

Qiana Jackson

NPI Number

1750815387

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/20/2017

Specialties

(Taxonomies)

Code

172V00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

15927 BRAMELL ST
15565 NORTHLAND DR SUITE 604WEST

City

Detroit
Southfield

State

MI
MI

Postal Code

48223-1058
48075

Country

US
US

Telephone Number

(313) 522-4283
(313) 213-6723

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/20/2017

Provider Address

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