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

Monique Jackson

Individual provider Gerontology Occupational Therapist · NPI 1871049684

Monique Jackson is a Gerontology Occupational Therapist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
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Practice location Address checks out

21630 Jessel Ave
Detroit, MI 48219
Phone: (855) 213-9980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence 5202005667 (MI)

Record details

NPI number1871049684
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESAugust 31, 2016