Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYNETTA JACKSON
ActiveTYNETTA JACKSON is a Licensed Practical Nurse healthcare provider located in ROSEVILLE, Michigan. NPI 1932898269 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · ROSEVILLE, MI
Registration Details
- NPI Number
- 1932898269
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2023 (3.2864156968543 yrs)
- Last Updated
- May 3, 2023
- License
-
4703124495 (MI)
Practice Information
- Address
-
27621 GROVELAND STROSEVILLE, MI, 480664353Browse MI providers · Browse ZIP 48066
- Phone
- 2486785637
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in ROSEVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| PRISCILLA PICKETT | — | 1790047553 |
| CAROLYN JAMES | — | 1801203807 |
| VARGHESE JOHN | — | 1003207358 |
| ANGELA TRENT | — | 1891181400 |
| KAREN CELMO | — | 1801282371 |
| BRENDA PECK | — | 1154704054 |
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.