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NPI Code Detail

MEDICARE: MRS. SHERRI ANN JACKSON R.N.

MEDICARE: MRS. SHERRI ANN JACKSON R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse4704409330MI
2163W00000XRegistered Nurse190939CO

General Provider Information

NPI Number : 1841535457
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHERRI ANN JACKSON R.N.
Provider Business Mailing Address
First Line : 26545 AMERICAN DR
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-6115
Country : US
Telephone Number : 800-395-3223
Fax Number :
Provider Business Practice Location Address
First Line : 501 N MAPLE RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48103-2827
Country : US
Telephone Number : 800-395-3223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2012
Last Update Date : 05/14/2025

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