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

MS. Kanisha Jackson

Individual provider Case Manager/Care Coordinator · NPI 1194660050

MS. Kanisha Jackson is a Case Manager/Care Coordinator in Detroit, Michigan. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

17950 Woodward Ave
Detroit, MI 48203-2260
Phone: (313) 401-0929
Fax: (313) 401-0927
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

Record details

NPI number1194660050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

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