Individual
MS. SHANNON M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRC, CCAR
Contact information
Practice address
1044 GILBERT ST, FLINT, MI 48532-3527
(810) 422-9406
Mailing address
1044 GILBERT ST, FLINT, MI 48532-3527
(810) 422-9406
(810) 733-7623
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
09/15/2025
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