Individual
DR. HOPE TIFFANY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301509785
MI
208600000X
Surgery Physician
MD041042
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457588600
—
WA
Enumeration date
06/15/2009
Last updated
09/15/2023
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