Individual
CURTIS LEE JACKSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6639 CENTURION DR STE 130, LANSING, MI 48917-8273
(517) 322-3050
Mailing address
6639 CENTURION DR STE 130, LANSING, MI 48917-8273
(517) 322-3050
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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