RONDA JACKSON
NPI 1013876663
Student in an Organized Health Care Education/Training Program in Redford, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since January 20, 2026

9315 TELEGRAPH RD, REDFORD, MI 48239(313) 450-4500 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ronda Jackson NPPES

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

RONDA JACKSON (NPI 1013876663) is an individual student in an organized health care education/training program in Redford, Michigan and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1013876663

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameRONDA JACKSON

Location Address9315 TELEGRAPH RDRedford, MI 48239-1260

Mailing Address9315 Telegraph RdRedford, MI 48239-1260 · (313) 450-4500

Phone(313) 450-4500

Sole ProprietorYes

Enumeration DateJanuary 20, 2026

NPPES CertifiedJanuary 20, 2026

✔ NPI 1013876663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9315 TELEGRAPH RD, Redford, MI 48239

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