TEQUILA JACKSON
NPI 1467197269
Licensed Practical Nurse in Saginaw, MI

Q: What is Tequila Jackson's NPI number?

The NPI number for Tequila Jackson is 1467197269. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Q: What is Tequila 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 Tequila Jackson was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 05, 2022

2444 HERMANSAU ST, SAGINAW, MI 48602(989) 482-7967 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Tequila Jackson NPPES

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

TEQUILA JACKSON (NPI 1467197269) is an individual licensed practical nurse in Saginaw, Michigan, licensed in Michigan (4703122547) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1467197269

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTEQUILA JACKSON

Location Address2444 HERMANSAU STSaginaw, MI 48602-5824

Mailing Address2444 Hermansau StSaginaw, MI 48602-5824

Phone(989) 482-7967

Sole ProprietorNo

Enumeration DateMay 5, 2022

NPPES CertifiedMay 5, 2022

✔ NPI 1467197269 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 · 4703122547

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.

2444 HERMANSAU ST, Saginaw, MI 48602

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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 Tequila Jackson's NPI number?

The NPI number for Tequila Jackson is 1467197269. It was assigned to this individual provider in the NPPES registry on May 5, 2022.

Where is Tequila Jackson located?

Tequila Jackson practices at 2444 Hermansau St, Saginaw, MI 48602. The listed phone number is (989) 482-7967.

What is Tequila 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 Tequila Jackson was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.