Kiyyo Shirese Jackson I

  • NPI 1760899744
According to our database, the NPI number for Kiyyo Shirese Jackson I is 1760899744 and activated since 9 years ago. Kiyyo Shirese Jackson I is an individual provider who specializes in Case Manager/Care Coordinator, and the primary practice location is 2925 Russell St, Detroit, MI 48207. You can also contact Kiyyo Shirese Jackson I via telephone number is (313) 396-5300. Provider NPI information was last updated on 07/22/2014.

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Overview of Kiyyo Shirese Jackson I

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/22/2014
  • Last updated: 07/22/2014

Primary Scrop of Practice

  • Taxonomy Code: 171M00000X
  • Specialty: Case Manager/Care Coordinator
  • License Number: 6803086048
  • License State: MI

Provider Mailing Address

  • Address: 2925 Russell St
    Detroit, MI 48207
  • Phone: 313-396-5300
  • Fax: 313-396-5353

Provider Practice Location

  • Address: 2925 Russell St
    Detroit, MI 48207
  • Phone: 313-396-5300
  • Fax: 313-396-5353

Scope of Practice

  • Taxonomy Code: 171M00000X
  • Specialty: Case Manager/Care Coordinator
  • License Number: 6803086048
  • License State: MI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 6803086048
  • 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 Kiyyo Shirese Jackson I?
  • A: The npi number for Kiyyo Shirese Jackson I is 1760899744.
  • Q: What are Kiyyo Shirese Jackson I's specialties?
  • A: Kiyyo Shirese Jackson I's specialties are Case Manager/Care Coordinator and different specialities.
  • Q: What is the medical license for Kiyyo Shirese Jackson I?
  • A: The medical license number for Kiyyo Shirese Jackson I is 6803086048 and issued in MI in USA.
  • Q: Where is Kiyyo Shirese Jackson I practice location?
  • A: Kiyyo Shirese Jackson I is practicing at 2925 Russell St, Detroit, MI 48207.
  • Q: How to contact Kiyyo Shirese Jackson I?
  • A: You can contact Kiyyo Shirese Jackson I via 313-396-5300.