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

Jessica Mikela Jackson

Individual provider Behavior Technician · NPI 1679238307

Jessica Mikela Jackson is a Behavior Technician in Prudenville, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1070 W Houghton Lake Dr
Prudenville, MI 48651-9613
Phone: (231) 736-7138
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1679238307
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2021
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address4300 Collegiate Way Apt 526c, Mount Pleasant, MI 48858-8281

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