CHARLYN JACKSON
NPI 1346615721
Licensed Practical Nurse in Detroit, MI

Q: What is Charlyn Jackson's NPI number?

The NPI number for Charlyn Jackson is 1346615721. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Q: What is Charlyn 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 Charlyn Jackson was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 December 10, 2015

13600 ARCHDALE ST, DETROIT, MI 48227(313) 485-2540 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Charlyn Jackson NPPES

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

CHARLYN JACKSON (NPI 1346615721) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703111484) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1346615721

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameCHARLYN JACKSON

Location Address13600 ARCHDALE STDetroit, MI 48227-1394

Mailing Address13600 Archdale StDetroit, MI 48227-1394 · (313) 485-2540

Phone(313) 485-2540

Sole ProprietorNo

Enumeration DateDecember 10, 2015

✔ NPI 1346615721 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 · 4703111484

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.

13600 ARCHDALE ST, Detroit, MI 48227

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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 Charlyn Jackson's NPI number?

The NPI number for Charlyn Jackson is 1346615721. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Where is Charlyn Jackson located?

Charlyn Jackson practices at 13600 Archdale St, Detroit, MI 48227. The listed phone number is (313) 485-2540.

What is Charlyn 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 Charlyn Jackson was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.