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

Madeline Patricia Jackson, CNIM

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1407688583

Madeline Patricia Jackson, CNIM is an Electroneurodiagnostic Specialist/Technologist in Canton, Michigan. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

43754 Brandywyne Rd
Canton, MI 48187-2242
Phone: (586) 817-0671
Show map & directions

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

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1407688583
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNIM
Sole proprietorYes
NPI enumeratedAugust 16, 2024
Last updated in NPPESSeptember 8, 2024
Certification dateSeptember 8, 2024