Individual
CORNESHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 225-9835
Mailing address
PO BOX 272, NEWBERRY, MI 49868-0272
(906) 225-9835
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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