What is Kanisha Jackson's NPI number?

Kanisha Jackson's National Provider Identifier (NPI) is 1194660050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kanisha Jackson's specialty?

Kanisha Jackson is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).

Where is Kanisha Jackson located?

Kanisha Jackson's practice location on file with NPPES is 17950 Woodward Ave, Detroit, MI 48203-2260.

What is Kanisha Jackson's phone number?

The practice phone number listed in the NPPES registry for Kanisha Jackson is (313) 401-0929.

Is Kanisha Jackson's NPI active?

Yes — Kanisha Jackson's NPI (1194660050) is active in the NPPES registry as of the last update on 2026-04-20.

IndividualActive

Kanisha Jackson

NPI 1194660050 · Case Manager/Care Coordinator · Detroit, MI

Kanisha Jackson is a Case Manager/Care Coordinator provider in Detroit, MI (NPI 1194660050).

Provider details

NPI number: 1194660050
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Case Manager/Care CoordinatorPrimary171M00000X
Other Service Providers

Profile Score

Basic profile(46/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

17950 Woodward Ave

Detroit, MI 48203-2260

Phone: (313) 401-0929

Fax: (313) 401-0927

Street-level locationGet directions

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Mailing address