Individual
CARAMARIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4620 GENESYS PKWY, GRAND BLANC, MI 48439-8067
(810) 606-7200
(810) 606-7115
Mailing address
2559 STANMOOR DR, WATERFORD, MI 48329-2365
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004514
MI
363AS0400X
Surgical Physician Assistant
5601004514
MI
Other
Enumeration date
10/17/2006
Last updated
06/18/2024
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