Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brooke Jackson

Individual provider Physician Assistant · NPI 1457949851

Brooke Jackson is a Physician Assistant in Birmingham, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

1157 S Adams Rd
Birmingham, MI 48009-7101
Phone: (248) 594-4006
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1184942 (MI)

Record details

NPI number1457949851
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 2, 2021
Last updated in NPPESDecember 8, 2022
Certification dateDecember 8, 2022
Mailing address1157 S Adams Rd, Birmingham, MI 48009-7101

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