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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DESJAMBRA JACKSON LPN
NPI 1275462673
Licensed Practical Nurse in Detroit, MI

Active since May 14, 2026
6821 MEDBURY ST, DETROIT, MI 48211(313) 922-2222 Get Directions Write a Review

NPPES record added: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desjambra Jackson Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESJAMBRA JACKSON LPN (NPI 1275462673) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703131655) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1275462673
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDESJAMBRA JACKSONCredential: LPN
Location Address6821 MEDBURY STDetroit, MI 48211-3317
Mailing Address6821 Medbury StDetroit, MI 48211-3317 · (313) 922-2222
Phone(313) 922-2222
Sole ProprietorYes
Enumeration DateMay 14, 2026
NPPES CertifiedMay 14, 2026
✔ NPI 1275462673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703131655
Definition
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.
6821 MEDBURY ST, Detroit, MI 48211
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM J MORGAN
Peer Specialist
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
TATYANA AUBREY PRYOR LLMSW
Social Worker
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
CARMETIA GORDON LPN
Licensed Practical Nurse
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
LONDON THOMPSON LPN
Licensed Practical Nurse
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
NICK VANDIVER
Peer Specialist
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
TANISHA HUGHES RN
Registered Nurse (Addiction (Substance Use Disorder))
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
CRYSTAL P WILLIAMS
Counselor (Addiction (Substance Use Disorder))
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222
ASHLEY SMELTZER
Peer Specialist
6821 MEDBURY ST
DETROIT, MI 48211
Wayne County (313) 922-2222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desjambra Jackson's NPI number?

The NPI number for Desjambra Jackson is 1275462673. It was assigned to this individual provider in the NPPES registry on May 14, 2026.

Where is Desjambra Jackson located?

Desjambra Jackson practices at 6821 Medbury St, Detroit, MI 48211. The listed phone number is (313) 922-2222.

What is Desjambra Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Desjambra Jackson was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.