IndividualActive
Duane Jackson
NPI 1992578058 · Day Training/Habilitation Specialist · Detroit, MI
Provider details
- NPI number
- 1992578058
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
3111 Grand River Ave
Detroit, MI 48208-2962
Phone: (313) 964-3900
Approximate (ZIP-level) locationGet directions
Mailing address
29511 Steinhauer St
Inkster, MI 48141-3418
Registry dates
- Enumerated
- 2023-11-01
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.