Brooke Jackson

Physician Assistant · Birmingham, MI

Individual Active NPI

NPI number 1457949851

Practice location

1157 S Adams Rd
Birmingham, MI 48009-7101
Phone
(248) 594-4006

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NPI record

NPI
1457949851
Entity type
Individual (Type 1)
Enumeration date
January 2, 2021
Last updated
December 8, 2022
Certified
December 8, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 1184942 MI

About Brooke Jackson

Brooke Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1157 S Adams Rd, Birmingham, MI 48009-7101. The NPI number 1457949851 was assigned on January 2, 2021 and the record was last updated on December 8, 2022.

Brooke Jackson lists a license in the registry: #1184942 (MI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brooke Jackson?

The NPI number is 1457949851.

What is the phone number of Brooke Jackson?

The phone number listed for the practice location is (248) 594-4006.

Where is Brooke Jackson located?

1157 S Adams Rd, Birmingham, MI 48009-7101.

What is the taxonomy code for Brooke Jackson?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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