JACLYN JACKSON
NPI 1306228978
Licensed Practical Nurse in Monroe, MI

Q: What is Jaclyn Jackson's NPI number?

The NPI number for Jaclyn Jackson is 1306228978. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Q: What is Jaclyn Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Jackson was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since June 19, 2015

5259 EVERGREEN DR, MONROE, MI 48161(734) 770-7318 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jaclyn Jackson NPPES

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

JACLYN JACKSON (NPI 1306228978) is an individual licensed practical nurse in Monroe, Michigan, licensed in Michigan (4703115148) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1306228978

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJACLYN JACKSON

Location Address5259 EVERGREEN DRMonroe, MI 48161-3690

Mailing Address5259 Evergreen DrMonroe, MI 48161-3690 · (734) 770-7318

Phone(734) 770-7318

Sole ProprietorNo

Enumeration DateJune 19, 2015

✔ NPI 1306228978 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 · 4703115148

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.

5259 EVERGREEN DR, Monroe, MI 48161

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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 Jaclyn Jackson's NPI number?

The NPI number for Jaclyn Jackson is 1306228978. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Jaclyn Jackson located?

Jaclyn Jackson practices at 5259 Evergreen Dr, Monroe, MI 48161. The listed phone number is (734) 770-7318.

What is Jaclyn 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 Jaclyn Jackson was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.