CHARLENE RENE JACKSON
NPI 1487105458
Technician, Other in Eastpointe, MI

Active since October 14, 2016
18029 STEPHENS DR, EASTPOINTE, MI 48021(586) 209-9161 Get Directions Write a Review

NPPES record last updated: October 14, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charlene Rene Jackson NPPES

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

CHARLENE RENE JACKSON (NPI 1487105458) is an individual technician, other provider in Eastpointe, Michigan and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1487105458
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameCHARLENE RENE JACKSON
Location Address18029 STEPHENS DREastpointe, MI 48021-1810
Mailing Address18029 Stephens DrEastpointe, MI 48021-1810 · (586) 209-9161
Sole ProprietorNo
Enumeration DateOctober 14, 2016
NPI 1487105458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

18029 STEPHENS DR, Eastpointe, MI 48021

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 Charlene Jackson's NPI number?

The NPI number for Charlene Jackson is 1487105458. It was assigned to this individual provider in the NPPES registry on October 14, 2016.

Where is Charlene Jackson located?

Charlene Jackson practices at 18029 Stephens Dr, Eastpointe, MI 48021. The listed phone number is (586) 209-9161.

What is Charlene Jackson's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Charlene Jackson was last updated on October 14, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.