JESSICA GLENN JACKSON

DETROIT, MI
NPI1336485408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: MI  4704267739)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: MI  4704267739)
Enumeration Date2012-12-18
Last Update Date2022-10-25
Business Address
JESSICA GLENN JACKSON CNM
5635 W FORT ST
DETROIT, MI 48209-3154
Phone number: 313-849-3920
Mailing Address
JESSICA GLENN JACKSON CNM
5635 W FORT ST
DETROIT, MI 48209-3154
Phone number: 313-849-3920