MR. CHRISTOPHER JOHN JACKSON AGACNP NPI 1427612480

NPI Information

MR. Christopher John Jackson, AGACNP is an adult health nurse practitioner in Livonia, MI with 5 years of experience. MR. Christopher John Jackson, AGACNP NPI is 1427612480. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8921 HARVEY ST
LIVONIA, MI
ZIP 48150-518
Phone: (313) 815-6047

The NPI 1427612480 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2019 and was last updated on 4/1/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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