MADELINE PATRICIA JACKSON CNIM
NPI 1407688583
Specialist/Technologist, Other - Electroneurodiagnostic in Canton, MI

Active since August 16, 2024
43754 BRANDYWYNE RD, CANTON, MI 48187(586) 817-0671 Get Directions Write a Review

NPPES record last updated: September 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2024, Aug 16, 2024 (2 updates tracked since 2024).

About Madeline Patricia Jackson Cnim NPPES

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

MADELINE PATRICIA JACKSON CNIM (NPI 1407688583) is an individual electroneurodiagnostic provider in Canton, Michigan and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1407688583
Entity TypeIndividualFemale
Primary Taxonomy246ZE0600X
Provider Legal NameMADELINE PATRICIA JACKSONCredential: CNIM
Location Address43754 BRANDYWYNE RDCanton, MI 48187-2242
Mailing Address550 N Central Expy Unit 2586Mckinney, TX 75070-0139
Sole ProprietorYes
Enumeration DateAugust 16, 2024
Last NPPES UpdateSeptember 8, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2024
NPI 1407688583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
43754 BRANDYWYNE RD, Canton, MI 48187

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 Madeline Jackson's NPI number?

The NPI number for Madeline Jackson is 1407688583. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Where is Madeline Jackson located?

Madeline Jackson practices at 43754 Brandywyne Rd, Canton, MI 48187. The listed phone number is (586) 817-0671.

What is Madeline Jackson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Madeline Jackson was last updated on September 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.