JESSICA GLENN JACKSON (NPI# 1336485408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336485408 |
| Entity Type | Individual |
| Full Name | JESSICA GLENN JACKSON |
| Credential | CNM |
| Practice Address |
5635 W Fort St Detroit MI 48209-3154 |
| Practice Telephone | 3138493920 |
| Mailing Telephone | 3138493920 |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 4704267739 | MI | Other Service Providers |
| N | 367A00000X | Advanced Practice Midwife | 4704267739 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759594 | Jessica Ashley Jackson | Social Worker | 310 W Mckinley Ave, Mishawaka, IN 46545-5600 | 2020-10-28 |
| 1396387361 | Jessica Leeann Jackson | In Home Supportive Care | 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 | 2019-10-11 |
| 1720638018 | Jessica Jackson | Registered Nurse | 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 | 2019-09-18 |
| 1386106326 | Jessica Marie Jackson | Specialist/Technologist | 120 Main St Apt 217, Saco, ME 04072-3528 | 2019-04-01 |
| 1205335916 | Jessica Berdette Jackson | Licensed Practical Nurse | 376 Owego Rd, Candor, NY 13743-1645 | 2018-02-08 |
| 1023553187 | Jessica Elise Jackson | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2016-12-28 |
| 1982151130 | Jessica Jackson | Licensed Practical Nurse | 25 Green Knolls Dr Apt D, Rochester, NY 14620-4777 | 2016-09-06 |
| 1770940975 | Jessica Jackson | Technician, Other | 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 | 2016-01-20 |
| 1710344007 | Jessica Jackson | Social Worker | 4 Tufts Trl, Hopatcong, NJ 07843-1013 | 2016-01-18 |
| 1336572726 | Jessica L Jackson | Health Educator | 492 Naughright Rd, Long Valley, NJ 07853-3807 | 2013-08-20 |
| Street Address |
5635 W FORT ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48209-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992795165 | Felix Mario Valbuena Jr. | Family Medicine | 5635 W Fort St, Detroit, MI 48209-3154 | 2005-10-27 |
| 1336746270 | Holly Ferguson | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2020-10-05 |
| 1578185211 | Matthew S Ellison | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2020-05-16 |
| 1538708276 | Christopher Sanjurjo Montalvo | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-12-28 |
| 1124667019 | Daniela Lopez | Counselor | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-12-26 |
| 1548733629 | Maryrose Benson | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-01-10 |
| 1568935633 | Sharon Almonte | Student in an Organized Health Care Education/Training Program | 5635 W Fort St, Detroit, MI 48209-3154 | 2019-01-10 |
| 1962973784 | Luis Felipe Cebas | Social Worker | 5635 W Fort St, Detroit, MI 48209-3154 | 2018-12-06 |
| 1932611761 | Sherry Lynn Ismail | Registered Nurse | 5635 W Fort St, Detroit, MI 48209-3154 | 2017-11-02 |
| 1992223507 | Jaribeth Disla | Counselor | 5635 W Fort St, Detroit, MI 48209 | 2017-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501471 | El Valle Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 1940 Campbell, Detroit, MI 48209 | 2019-04-24 |
| 1598211583 | Elizabeth Lopez-riachi | Technician, Other | 1551 Cavaqlry St., Detroit, MI 48209 | 2016-08-30 |
| 1205210333 | Yamirka Torres | Behavioral Analyst | 1551 Cavalry St, Detroit, MI 48209 | 2015-07-18 |
| 1689943359 | Jessica Male | Pharmacist | 6223 W Jefferson Ave, Detroit, MI 48209 | 2011-12-23 |
| 1003070723 | Mark Beard | General Practice | 5700 W Vernor Hwy, Detroit, MI 48209 | 2008-07-11 |
| 1891980330 | Emery K Toth | Dentist | 8028 W Vernor Hwy, Detroit, MI 48209 | 2007-09-07 |
| 1225131881 | Eva A Karmo | Dentist | 4607 W. Vernor Hwy, Detroit, MI 48209 | 2006-09-07 |
| 1023123858 | Wanda E Velez Ruiz | Internal Medicine | 4115 W Vernor, Detroit, MI 48209 | 2006-08-20 |
| 1235142563 | Wendy Yousif Mckay | Family Medicine | 5831 W Vernor, Detroit, MI 48209 | 2006-08-15 |
| 1316950645 | Sahir H Cittan | Family Medicine | 5831 West Vernor, Detroit, MI 48209 | 2006-08-15 |
| Find all providers in zip 48209 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650757 | Cynthia Linnea Jackson | Midwife | 20551 Motor Dr Apt A4, Detroit, MI 48235-1831 | 2020-05-06 |
| 1326673898 | Heather Robinson | Midwife | 5913 Beaconsfield St, Detroit, MI 48224-3128 | 2020-03-05 |
| 1114442589 | Nicole Marie White | Midwife | 3138 Rosa Parks Blvd, Detroit, MI 48216-1218 | 2017-08-07 |
| 1154567881 | Linda Rae Honey | Midwife | 15282 Carlisle St, Detroit, MI 48205-1337 | 2008-12-30 |
| 1225490709 | Danielle Elaine Track | Midwife | 2799 W Grand Blvd, Detroit, MI 48202 | 2016-03-24 |
| 1528455219 | Jessica Fladger | Midwife | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2015-04-20 |
| 1518116623 | Darlene Joyce Allen | Midwife | 4201 St Antoine, Ste 4c, Detroit, MI 48201-2153 | 2008-09-12 |
| 1902982093 | Henr Y Ford Health System | Midwife | 2799 W Grand Blvd, Detroit, MI 48202 | 2006-10-31 |
| 1841233582 | Barbara Lannen | Midwife | 3750 Woodward Ave, Suite 200c, Detroit, MI 48201-2007 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484235 | Chelsey Ann Waller | Midwife | 1200 6th St Ste 400, Traverse City, MI 49684-2369 | 2020-10-16 |
| 1215535067 | Family Tree Maternity Center, LLC | Midwife | 5201 S. Mission Rd., Mt. Pleasant, MI 48858 | 2020-10-14 |
| 1760092233 | Tiffany Alexandria Townsend | Midwife | 1000 Worden St Se, Grand Rapids, MI 49507-1351 | 2020-08-08 |
| 1164042875 | Beth Suzanne Barbeau | Midwife | 5340 Plymouth Rd Ste 103, Ann Arbor, MI 48105-9557 | 2020-04-22 |
| 1053948190 | Cassi Osak | Midwife | 18733 Thomasine St, Clinton Township, MI 48036-4051 | 2020-03-26 |
| 1538794508 | Ellen Murphy | Midwife | 63779 Youngs Prairie Rd, Constantine, MI 49042-9605 | 2020-03-10 |
| 1528691193 | Yolanda Visser | Midwife | 1514 Wealthy St Se Ste 238, Grand Rapids, MI 49506-2755 | 2020-02-21 |
| 1316579071 | Colleen Renee Maheswaran | Midwife | 1295 Kern Rd, Oakland, MI 48363-1936 | 2020-02-10 |
| 1205476637 | Kendra Denholm | Midwife | 3092 Greenfield Dr, Petoskey, MI 49770-9712 | 2020-01-14 |
| 1952945172 | Sarah L Wilson | Midwife | 5665 S Grant Rd, Mt Pleasant, MI 48858-8143 | 2019-10-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.