KYLA JACKSON
NPI 1306734561
Licensed Practical Nurse in Detroit, MI

Active since June 26, 2025
4385 NOTTINGHAM RD, DETROIT, MI 48224(313) 658-2977 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyla Jackson NPPES

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

KYLA JACKSON (NPI 1306734561) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703124046) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1306734561
Entity TypeIndividual
Primary Taxonomy164W00000X
Provider Legal NameKYLA JACKSON
Location Address4385 NOTTINGHAM RDDetroit, MI 48224-3421
Mailing Address4385 Nottingham RdDetroit, MI 48224-3421
Sole ProprietorNo
Enumeration DateJune 26, 2025
NPPES CertifiedJune 26, 2025
NPI 1306734561 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 · 4703124046
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.
4385 NOTTINGHAM RD, Detroit, MI 48224

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 Kyla Jackson's NPI number?

The NPI number for Kyla Jackson is 1306734561. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Where is Kyla Jackson located?

Kyla Jackson practices at 4385 Nottingham Rd, Detroit, MI 48224. The listed phone number is (313) 658-2977.

What is Kyla 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 Kyla Jackson was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.