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ANDREA JACKSON
NPI 1396373973
Licensed Practical Nurse in Farmington Hills, MI

Active since March 30, 2020
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334(248) 299-0030 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Jackson NPPES

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

ANDREA JACKSON (NPI 1396373973) is an individual licensed practical nurse in Farmington Hills, Michigan, licensed in Michigan (4703116831) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1396373973
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANDREA JACKSON
Location Address27777 INKSTER RD STE 100Farmington Hills, MI 48334-5326
Mailing Address27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5326 · (248) 299-0030
Phone(248) 299-0030
Sole ProprietorNo
Enumeration DateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
✔ NPI 1396373973 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 · 4703116831
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.
27777 INKSTER RD STE 100, Farmington Hills, MI 48334
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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.

ALEXANDER LOCKETT
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (248) 436-4400
TIFFANY CROSSLEY
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (855) 772-8847
JESSICA TOWERS
Behavior Analyst
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (855) 772-8847
DONYELL JONES
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (248) 256-5020
PRECIOUS WADE
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (248) 436-4476
GABRIEL ROBINSON
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (248) 436-4400
ALEXIS COLEMON
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (248) 436-4476
GABRIEL BARRON
Behavior Technician
27777 INKSTER RD STE 100
FARMINGTON HILLS, MI 48334
Oakland County (248) 436-4400

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 Andrea Jackson's NPI number?

The NPI number for Andrea Jackson is 1396373973. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Andrea Jackson located?

Andrea Jackson practices at 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334. The listed phone number is (248) 299-0030.

What is Andrea 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 Andrea Jackson was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.