Individual
TATIANNA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15778 APPOLINE ST, DETROIT, MI 48227-4010
(313) 938-2826
Mailing address
15778 APPOLINE ST, DETROIT, MI 48227-4010
(313) 938-2826
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
MI
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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