Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ARCHIA DENISE JACKSON, REGISTERED NURSE
Active Sole ProprietorARCHIA DENISE JACKSON, REGISTERED NURSE is a Child & Adolescent Psychiatric Nurse healthcare provider located in GRAND RAPIDS, Michigan. NPI 1952293573 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1952293573
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2025 (1.0918239275073 yrs)
- Last Updated
- Jul 17, 2025
- License
-
4704235782 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3075 ORCHARD VISTA DR SEGRAND RAPIDS, MI, 495467069Browse MI providers · Browse ZIP 49546
- Phone
- 9894931964
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
Other Child & Adolescent Psychiatric Nurse Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| GAYLE RAE ANDRUS | MA LLP | 1326134503 |
| MS. ROBERTA J WALSH | RN.,CNP | 1013089630 |
| JANNA DAWDY | RN | 1760875389 |
| MICHAEL TREECE | RN | 1043754070 |
| AMANDA STOUT | — | 1790278935 |
| ERIC LUND | RN | 1225521321 |
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.