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

Kiyyo Shirese Jackson I

Individual provider Case Manager/Care Coordinator · NPI 1760899744

Kiyyo Shirese Jackson I is a Case Manager/Care Coordinator in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014

Practice location Address checks out

2925 Russell St
Detroit, MI 48207-4825
Phone: (313) 396-5300
Fax: (313) 396-5353
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 6803086048 (MI)

Record details

NPI number1760899744
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2014
Last updated in NPPESJuly 22, 2014

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