MS. Keely Jackson CERTIFIED

  • NPI 1396044269
According to our database, the NPI number for MS. Keely Jackson CERTIFIED is 1396044269 and activated since 13 years ago. MS. Keely Jackson CERTIFIED is an individual provider who specializes in Specialist, and the primary practice location is 21268 Venice Dr, Macomb, MI 48044. You can also contact MS. Keely Jackson CERTIFIED via telephone number is (586) 948-8954. Provider NPI information was last updated on 03/17/2011.

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Overview of MS. Keely Jackson CERTIFIED

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 03/17/2011
  • Last updated: 03/17/2011

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 911223
  • License State: CO

Provider Mailing Address

  • Address: 21268 Venice Dr
    Macomb, MI 48044
  • Phone: 586-948-8954
  • Fax: 586-948-8954

Provider Practice Location

  • Address: 21268 Venice Dr
    Macomb, MI 48044
  • Phone: 586-948-8954
  • Fax: 586-948-8954

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 911223
  • License State: CO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 208443128
  • Identifier Type: Other
  • Identifier State: MI
  • Issuer: EMPLOYER IDENTIFICATION NUMBER

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MS. Keely Jackson CERTIFIED?
  • A: The npi number for MS. Keely Jackson CERTIFIED is 1396044269.
  • Q: What are MS. Keely Jackson CERTIFIED's specialties?
  • A: MS. Keely Jackson CERTIFIED's specialties are Specialist and different specialities.
  • Q: What is the medical license for MS. Keely Jackson CERTIFIED?
  • A: The medical license number for MS. Keely Jackson CERTIFIED is 911223 and issued in CO in USA.
  • Q: Where is MS. Keely Jackson CERTIFIED practice location?
  • A: MS. Keely Jackson CERTIFIED is practicing at 21268 Venice Dr, Macomb, MI 48044.
  • Q: How to contact MS. Keely Jackson CERTIFIED?
  • A: You can contact MS. Keely Jackson CERTIFIED via 586-948-8954.