IndividualActive
Madeline Jackson, CNIM
NPI 1407688583 · Electroneurodiagnostic Specialist/Technologist · Canton, MI
Provider details
- NPI number
- 1407688583
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CNIM
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
550 N Central Expy Unit 2586
Mckinney, TX 75070-0139
Registry dates
- Enumerated
- 2024-08-16
- Last updated
- 2024-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.