MARLENA RENEE JACKSON (NPI# 1568019453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568019453 |
| Entity Type | Individual |
| Full Name | MARLENA RENEE JACKSON |
| Practice Address |
26967 Carly Dr Brownstown MI 48174-2539 |
| Practice Telephone | 3132056617 |
| Mailing Telephone | 3132056617 |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2019-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | P655585734802 | MI | Other Service Providers |
| Street Address |
26967 CARLY DR |
| City | BROWNSTOWN |
| State | MI |
| Zip Code | 48174-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
| 1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
| 1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
| 1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
| 1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
| 1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
| 1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
| 1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
| 1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
| 1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
| Find all providers in zip 48174 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821264870 | Rhonda Howard | Driver | Rr 2 Box 175, Brownstown, IL 62418-9675 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639791080 | Hussein Nasser | Driver | 6115 College Dr, Dearborn Heights, MI 48127-2553 | 2020-05-08 |
| 1619503687 | Sherri Roquel Beaver | Driver | 3330 Van Horn Rd Apt 146, Trenton, MI 48183-4019 | 2020-03-20 |
| 1891321345 | Rosie F Beasley | Driver | 4458 Grayton St, Detroit, MI 48224-4006 | 2020-03-17 |
| 1326673443 | Carina S Daniel | Driver | 195 Waverly St, Highland Park, MI 48203-3270 | 2020-03-09 |
| 1619502044 | Nicole R Beecher | Driver | 26211 Central Park Blvd Ste 116, Lathrup Village, MI 48076-4107 | 2020-03-05 |
| 1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
| 1437781242 | Candice Denise Pointer | Driver | 20518 W Warren Ave, Detroit, MI 48228-3243 | 2020-02-10 |
| 1467099267 | Spectrum Transportion of Grand Rapids | Driver | 7700 Fox Haven Ct Se, Ada, MI 49301-8637 | 2019-11-30 |
| 1003457680 | Kejuan Deshawn Davis | Driver | 7401 Parkland, Redford, MI 48239-1015 | 2019-10-04 |
| 1669028569 | Deandre Lavelle Hughes | Driver | 706 Patterson Ave, Bay City, MI 48706-4194 | 2019-08-15 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSTOWN |
| Zip Code | 48174 |
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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.