Individual
MARTY JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 BELLILE ST UNIT 294, SAINT MICHAEL, ND 58370-7006
(701) 381-6194
Mailing address
PO BOX 108, SAINT MICHAEL, ND 58370-0108
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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