MARLENA RENEE JACKSON
NPI 1568019453
Driver in Brownstown, MI
About Marlena Renee Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLENA RENEE JACKSON (NPI 1568019453) is an individual driver provider in Brownstown, Michigan, licensed in Michigan (P655585734802) and active in the NPI registry since August 2019.
NPPES Registry Identity
Specialties & Licenses
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 Marlena Jackson's NPI number?
The NPI number for Marlena Jackson is 1568019453. It was assigned to this individual provider in the NPPES registry on August 24, 2019.
Where is Marlena Jackson located?
Marlena Jackson practices at 26967 Carly Dr, Brownstown, MI 48174. The listed phone number is (313) 205-6617.
What is Marlena Jackson's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Marlena Jackson was last updated on August 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.