SHELBY JACKSON
NPI 1003681560
Home Health Aide in Fraser, MI

Active since November 15, 2023
17920 WINSOME, FRASER, MI 48026(313) 422-5832 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelby Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY JACKSON (NPI 1003681560) is an individual home health aide in Fraser, Michigan and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1003681560
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameSHELBY JACKSON
Location Address17920 WINSOMEFraser, MI 48026-3168
Mailing Address40583 Canterbury DrClinton Township, MI 48038-7120 · (586) 873-5504
Sole ProprietorNo
Enumeration DateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
NPI 1003681560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
17920 WINSOME, Fraser, MI 48026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelby Jackson's NPI number?

The NPI number for Shelby Jackson is 1003681560. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Where is Shelby Jackson located?

Shelby Jackson practices at 17920 Winsome, Fraser, MI 48026. The listed phone number is (313) 422-5832.

What is Shelby Jackson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Shelby Jackson was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.