Individual
MS. MICHELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFPS
Contact information
Practice address
115 FRANKLIN ST NE APT H21, WASHINGTON, DC 20002-1091
(202) 779-7527
Mailing address
115 FRANKLIN ST NE APT H21, WASHINGTON, DC 20002-1091
(202) 779-7527
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
PRO706
MD
172V00000X
Community Health Worker
01245-23-A
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
772
—
DC
Enumeration date
10/18/2016
Last updated
01/09/2026
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