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

Dewayne Jackson, PERSONALTRAINER

Individual provider Health Educator · NPI 1447792668

Dewayne Jackson, PERSONALTRAINER is a Health Educator in Flint, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

4500 S Saginaw St
Flint, MI 48507-2676
Phone: (810) 265-7121
Show map & directions

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

Specialties & licences

Health Educator (primary) Taxonomy 174H00000X · Licence T192947 (MI)

Record details

NPI number1447792668
Entity typeIndividual (Type 1)
GenderMale
Credentials PERSONALTRAINER
Sole proprietorYes
NPI enumeratedNovember 7, 2016
Last updated in NPPESNovember 7, 2016
Mailing address2446 Green Pine Dr Apt 5, Burton, MI 48519-1185

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