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

Myles Jackson

Individual provider Case Manager/Care Coordinator · NPI 1184093932

Myles Jackson is a Case Manager/Care Coordinator in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801119291 (MI)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1184093932
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 23, 2015
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025

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