Individual
BRIGGITTEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19505 TRACEY ST, DETROIT, MI 48235-1741
(248) 277-6749
Mailing address
19505 TRACEY ST, DETROIT, MI 48235-1741
(248) 277-6749
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
16-000008128
MI
Other
Enumeration date
09/14/2016
Last updated
08/02/2024
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