What is Keely Jackson's NPI number?

Keely Jackson's National Provider Identifier (NPI) is 1396044269, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Keely Jackson's specialty?

Keely Jackson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Keely Jackson located?

Keely Jackson's practice location on file with NPPES is 21268 Venice Dr, Macomb, MI 48044-1315.

What is Keely Jackson's phone number?

The practice phone number listed in the NPPES registry for Keely Jackson is (586) 948-8954.

Is Keely Jackson's NPI active?

Yes — Keely Jackson's NPI (1396044269) is active in the NPPES registry as of the last update on 2011-03-17.

IndividualActive

Keely Jackson, CERTIFIED

NPI 1396044269 · Specialist · Macomb, MI

Keely Jackson, CERTIFIED is a Specialist provider in Macomb, MI (NPI 1396044269).

Provider details

NPI number: 1396044269
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: CERTIFIED
Sex: Female
Sole proprietor: No
License: 911223 (CO)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 911223 (CO)
Other Service Providers

Profile Score

Detailed profile(82/100 index)

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

Registry tenure38% of score
15 yrs in NPPES registry
Profile completeness38% of score
100% 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

21268 Venice Dr

Macomb, MI 48044-1315

Phone: (586) 948-8954

Fax: (586) 948-8954

Street-level locationGet directions

More MI providers

Mailing address