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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

UTIVYA JACKSON, RN

Active Sole Proprietor

UTIVYA JACKSON, RN is a General Practice Nurse healthcare provider located in DETROIT, Michigan. NPI 1013699453 is currently active in the NPPES registry. Verify at CMS.

General Practice Nurse · DETROIT, MI

Registration Details

NPI Number
1013699453
Provider Type
Individual
Gender
Female
NPI Issued
Aug 4, 2023 (3.0506511480234 yrs)
Last Updated
Aug 4, 2023
License
4704267252 (MI)
Sole Proprietor
Yes

Practice Information

Address
4646 JOHN R ST
DETROIT, MI, 482011916
Browse MI providers · Browse ZIP 48201
Phone
3135761000
Primary Specialty
General Practice Nurse
163WG0000X

Other General Practice Nurse Providers in DETROIT, MI

Name Credential NPI
MRS. DONNA NEALOUS BROWN RN 1730296070
TONYA MORRIS REGISTERED NURSE 1841745262
TANIKA ARNOLD RN 1336640903
ANDREA MICHELLE MARSHALL-DIVER 1184265639
MS. SHELLY CROMERKENNEDY RN 1265033831
FRANKIE DIJONNAY ANNA-MARIE JACKSON 1467042002
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.