MRS. EDNA RUTH JACKSON (RN) – Administrator Registered Nurse, NPI 1114097870
Administrator Registered Nurse
Main info
Profile Insights
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Provider Addresses for MRS. EDNA RUTH JACKSON (RN)
West Grand Boulevard, LaSalle Gardens, New Center, Detroit, Wayne County, Michigan, 48202:48208, United States
DETROIT, MI 482081210
Phone: (313) 897-2061
Type: Location
18001, Saint Marys Street, College Park, Northwest Detroit, Detroit, Wayne County, Michigan, 48235, United States
DETROIT, MI 482353176
Phone: (313) 272-4034
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48208)
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