Individual
MS. TONYA MARIE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
G3169 BEECHER RD, FLINT, MI 48532-3611
(586) 501-3070
Mailing address
G3169 BEECHER RD, FLINT, MI 48532-3611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
MI
Enumeration date
01/03/2013
Last updated
03/31/2025
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