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TASIA JACKSON
NPI 1538038021
Licensed Practical Nurse in Ann Arbor, MI

Active since November 03, 2025
522 S MAPLE RD, ANN ARBOR, MI 48103(734) 585-7970 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tasia Jackson NPPES

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

TASIA JACKSON (NPI 1538038021) is an individual licensed practical nurse in Ann Arbor, Michigan, licensed in Michigan (4703109319) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1538038021
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTASIA JACKSON
Location Address522 S MAPLE RDAnn Arbor, MI 48103-3837
Mailing Address522 S Maple RdAnn Arbor, MI 48103-3837
Phone(734) 585-7970
Sole ProprietorNo
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
✔ NPI 1538038021 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 · 4703109319
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.
522 S MAPLE RD, Ann Arbor, MI 48103
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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.

PAULA LEAPHEART
Counselor (Professional)
522 S MAPLE RD
ANN ARBOR, MI 48103
Washtenaw County (734) 585-7970
MRS. KELLEY LYNN ILLIS RN
Registered Nurse
522 S MAPLE RD
ANN ARBOR, MI 48103
Washtenaw County (734) 585-7958
JASMINE SPARKS
Social Worker
522 S MAPLE RD
ANN ARBOR, MI 48103
Washtenaw County (734) 585-7970
SCOTT GANTZ LLMSW
Social Worker (Clinical)
522 S MAPLE RD
ANN ARBOR, MI 48103
Washtenaw County (734) 585-7970
DIAMANTINA ROLFES
Social Worker (Clinical)
522 S MAPLE RD
ANN ARBOR, MI 48103
Washtenaw County (734) 773-1785
KRISTI ILLIS RN
Registered Nurse (Addiction (Substance Use Disorder))
522 S MAPLE RD
ANN ARBOR, MI 48103
Washtenaw County (734) 585-7970
PHILLIP LAWTON SR. BS
Counselor (Addiction (Substance Use Disorder))
522 S MAPLE RD
ANN ARBOR, MI 48103
Washtenaw County (734) 585-7970
SHALYNN WILLIAMS RN
Registered Nurse (Addiction (Substance Use Disorder))
522 S MAPLE RD
ANN ARBOR, MI 48103
Washtenaw County (855) 954-4795

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 Tasia Jackson's NPI number?

The NPI number for Tasia Jackson is 1538038021. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Tasia Jackson located?

Tasia Jackson practices at 522 S Maple Rd, Ann Arbor, MI 48103. The listed phone number is (734) 585-7970.

What is Tasia 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 Tasia Jackson was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.