JACQUELINE MAXEY LPN
NPI 1124328919
Licensed Practical Nurse in Ann Arbor, MI

Active since October 26, 2010
2850 S INDURSTRIAL HWY, SUITE 75, ANN ARBOR, MI 48104(734) 477-7204 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About JACQUELINE MAXEY

This page provides the complete NPI Profile along with additional information for Jacqueline Maxey, a provider established in Ann Arbor, Michigan with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1124328919 assigned on October 2010. The practitioner's primary taxonomy code is 164W00000X with license number 4703031564 (MI). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1124328919 Verify this NPI
Provider Name
JACQUELINE MAXEY LPN
Gender
Female
Entity Type
Individual
Location Address
2850 S INDURSTRIAL HWY SUITE 75 ANN ARBOR, MI 48104
Location Phone
(734) 477-7204
Mailing Address
2850 S INDURSTRIAL HWY SUITE 75 ANN ARBOR, MI 48104
Is Sole Proprietor?
No
Enumeration Date
10-26-2010
Last Update Date
10-26-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
4703031564
License State
MI
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124328919, enumerated as an "individual" on October 26, 2010.

The provider is located at 2850 S INDURSTRIAL HWY SUITE 75 ANN ARBOR, MI 48104 and the phone number is (734) 477-7204.

Licensed Practical Nurse with taxonomy code 164W00000X.