| NPI | 1619390713 |
|---|---|
| Professional Name | VANESSA L JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI LBSW6802085900) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-24 |