Marty Jackson
Individual provider Active NPI Personal Care Attendant · Saint Michael, ND
NPI 1801730593 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1801730593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 713 Bellile St Unit 294
Saint Michael, ND 58370-7006 - Phone
- (701) 381-6194
- NPI assigned
- Apr 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
713 Bellile St Unit 294
Saint Michael, ND 58370-7006
Mailing address
PO Box 108
Saint Michael, ND 58370-0108
Other providers in Saint Michael, ND
- Denise Marie Frederick
- Beatrice L Green
- James J Green
- Ross Green
- Cheryl Ann Ironhawk
- Janifer Jensen
- Debbra Jetty
- Breanna Alice Kimmerly
- Amanda Kraft
- Melody Lawrence
All providers in Saint Michael, ND · Personal Care Attendant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.