LESLEY TYESHA JACKSON FNP - NPI 1326286964 - Nurse Practitioner in Jackson, MI

Q: What is Lesley Jackson's NPI number?

The NPI number for Lesley Jackson is 1326286964. It was assigned to this individual provider in the NPPES registry on February 3, 2009.

Q: What is Lesley Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lesley Jackson was last updated on August 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lesley Tyesha Jackson Fnp NPPES

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

LESLEY TYESHA JACKSON FNP (NPI 1326286964) is an individual family provider in Jackson, Michigan, licensed in Michigan (4704244746) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1326286964

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLESLEY TYESHA JACKSONCredential: FNP

Location Address900 COOPER STJackson, MI 49202-3398

Mailing Address900 Cooper StJackson, MI 49202-3398 · (800) 379-1600

Phone(800) 379-1600

Sole ProprietorNo

Enumeration DateFebruary 3, 2009

Last NPPES UpdateAugust 16, 2016

✔ NPI 1326286964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704244746

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704244746 (MI)

900 COOPER ST, Jackson, MI 49202

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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.

KELLA VADNAIS

Occupational Therapist