Individual
LAKESHIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3378 FASHION SQUARE BLVD, SAGINAW, MI 48603-2448
(989) 272-7610
(989) 272-7668
Mailing address
3378 FASHION SQUARE BLVD, SAGINAW, MI 48603-2448
(989) 272-7610
(989) 272-7668
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704295598
MI
Other
Enumeration date
01/26/2017
Last updated
03/27/2025
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