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

Jessica Glenn Jackson, CNM

Individual provider Midwife · NPI 1336485408

Jessica Glenn Jackson, CNM is a Midwife in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

5635 W Fort St
Detroit, MI 48209-3154
Phone: (313) 849-3920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 4704267739 (MI)
Midwife Taxonomy 176B00000X · Licence 4704267739 (MI)

Record details

NPI number1336485408
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedDecember 18, 2012
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

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