MR. Cornell Lee Jackson

  • NPI 1851630461
According to our database, the NPI number for MR. Cornell Lee Jackson is 1851630461 and activated since 11 years ago. MR. Cornell Lee Jackson is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 1852 W Grand Blvd, Detroit, MI 48208. You can also contact MR. Cornell Lee Jackson via telephone number is (313) 894-8444. Provider NPI information was last updated on 02/04/2013.

Recently Active NPIs

Overview of MR. Cornell Lee Jackson

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 02/04/2013
  • Last updated: 02/04/2013

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1852 W Grand Blvd
    Detroit, MI 48208
  • Phone: 313-894-8444
  • Fax: 313-894-5542

Provider Practice Location

  • Address: 1852 W Grand Blvd
    Detroit, MI 48208
  • Phone: 313-894-8444
  • Fax: 313-894-5542

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 381917278
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MI
  • Issuer:

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 MR. Cornell Lee Jackson?
  • A: The npi number for MR. Cornell Lee Jackson is 1851630461.
  • Q: What are MR. Cornell Lee Jackson's specialties?
  • A: MR. Cornell Lee Jackson's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for MR. Cornell Lee Jackson?
  • A: The medical license number for MR. Cornell Lee Jackson is unknow and issued in unknow in USA.
  • Q: Where is MR. Cornell Lee Jackson practice location?
  • A: MR. Cornell Lee Jackson is practicing at 1852 W Grand Blvd, Detroit, MI 48208.
  • Q: How to contact MR. Cornell Lee Jackson?
  • A: You can contact MR. Cornell Lee Jackson via 313-894-8444.