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MR. DUANE JACKSON
NPI 1992578058
Day Training/Habilitation Specialist in Detroit, MI

Active since November 01, 2023
3111 GRAND RIVER AVE, DETROIT, MI 48208(313) 964-3900 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Duane Jackson NPPES

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

MR. DUANE JACKSON (NPI 1992578058) is an individual day training/habilitation specialist in Detroit, Michigan and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1992578058
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameMR. DUANE JACKSON
Location Address3111 GRAND RIVER AVEDetroit, MI 48208-2962
Mailing Address29511 Steinhauer StInkster, MI 48141-3418 · (734) 620-0475
Phone(313) 964-3900
Sole ProprietorYes
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1992578058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
3111 GRAND RIVER AVE, Detroit, MI 48208
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKESHA WASHINGTON
Day Training/Habilitation Specialist
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 964-3900
MYRIAH GRAHAM MSW, LLMSW
Social Worker (Clinical)
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 557-8719
ANTHOLYN FLOYED-JACKSON
Day Training/Habilitation Specialist
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 557-8620
EDWARD STEINBERGER LBSW
Social Worker
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 557-8659
CHERYCE GREENE
Technician
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 557-6118
DONNA LAQUINNE JONES BA
Social Worker
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 964-3000
SHANNON ELISE TRETHEWEY
Day Training/Habilitation Specialist
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 964-3900
GOODWILL INDUSTRIES OF GREATER DETROIT
Case Manager/Care Coordinator
3111 GRAND RIVER AVE
DETROIT, MI 48208
Wayne County (313) 964-3900

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 Duane Jackson's NPI number?

The NPI number for Duane Jackson is 1992578058. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Duane Jackson located?

Duane Jackson practices at 3111 Grand River Ave, Detroit, MI 48208. The listed phone number is (313) 964-3900.

What is Duane Jackson's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Duane Jackson was last updated on November 1, 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.