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TEGAN JACKSON
NPI 1497217343
Technician, Other in Grand Rapids, MI

Active since April 01, 2019
1823 FRANCIS AVE SE, GRAND RAPIDS, MI 49507(616) 881-2791 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tegan Jackson NPPES

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

TEGAN JACKSON (NPI 1497217343) is an individual technician, other provider in Grand Rapids, Michigan and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1497217343
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameTEGAN JACKSON
Location Address1823 FRANCIS AVE SEGrand Rapids, MI 49507-2418
Mailing Address2814 Woodcliff Cir SeGrand Rapids, MI 49506-3155
Phone(616) 881-2791
Sole ProprietorNo
Enumeration DateApril 1, 2019
✔ NPI 1497217343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
1823 FRANCIS AVE SE, Grand Rapids, MI 49507
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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 Tegan Jackson's NPI number?

The NPI number for Tegan Jackson is 1497217343. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Tegan Jackson located?

Tegan Jackson practices at 1823 Francis Ave SE, Grand Rapids, MI 49507. The listed phone number is (616) 881-2791.

What is Tegan Jackson's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Tegan Jackson was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.