person
Mrs. Edna Ruth Jackson, RN
Administrator Registered Nurse in Detroit, Michigan
NPI 1114097870

Edna Ruth Jackson is an Administrator Registered Nurse based in Detroit, MI and is specialized in Administrator. Edna Ruth Jackson practices in Detroit, MI and has the professional credentials of RN. The NPI Number for Edna Ruth Jackson is 1114097870 and holds a License No. 4704118498 (Michigan).

The current practice location address for Edna Ruth Jackson is 2395 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-897-2061. You can also correspond with Edna Ruth Jackson through the mailing address at 18001 SAINT MARYS ST, DETROIT, MI - 48235-3176 (mailing address contact number: 313-272-4034).

Location: 2395 W Grand Blvd, Detroit, MI, 48235-3176
person
Provider Profile Details
NPI Number
1114097870
Provider Name
Edna Ruth Jackson
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
2395 W Grand Blvd, Detroit, MI, 48235-3176
Phone Number
313-897-2061
Fax Number
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2395 W Grand Blvd
City
State
Zip
48208-1210
Phone Number
313-897-2061
Fax Number
person
Provider Business Mailing Address Details
Address
2395 W Grand Blvd
City
State
Zip
48208-1210
Phone Number
313-897-2061
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
License No.
4704118498 (Michigan)
Definition
Definition to come...
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