BRYANNA JACKSON
NPI 1639874282
Licensed Practical Nurse in Eastpointe, MI

Active since April 03, 2023
17200 E 10 MILE RD, EASTPOINTE, MI 48021(313) 324-2144 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryanna Jackson NPPES

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

BRYANNA JACKSON (NPI 1639874282) is an individual licensed practical nurse in Eastpointe, Michigan, licensed in Michigan (4703127352) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1639874282
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRYANNA JACKSON
Location Address17200 E 10 MILE RDEastpointe, MI 48021-3355
Mailing Address17200 E 10 Mile RdEastpointe, MI 48021-3355 · (313) 324-2144
Sole ProprietorYes
Enumeration DateApril 3, 2023
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
NPI 1639874282 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 · 4703127352
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.
17200 E 10 MILE RD, Eastpointe, MI 48021

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
17200 E 10 MILE RD, SUITE 165
EASTPOINTE, MI 48021
Home Health
17200 E 10 MILE RD, SUITE 150
EASTPOINTE, MI 48021
Occupational Therapy Assistant
17200 E 10 MILE RD, SUITE 135
EASTPOINTE, MI 48021
Physical Therapist
17200 E 10 MILE RD, STE 165
EASTPOINTE, MI 48021
Home Health
17200 E 10 MILE RD
EASTPOINTE, MI 48021
Nurse Practitioner (Family)
17200 E 10 MILE RD
EASTPOINTE, MI 48021
Clinical Medical Laboratory
17200 E 10 MILE RD, SUITE 250
EASTPOINTE, MI 48021
Health and Wellness Coach
17200 E 10 MILE RD
EASTPOINTE, MI 48021

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 Bryanna Jackson's NPI number?

The NPI number for Bryanna Jackson is 1639874282. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Bryanna Jackson located?

Bryanna Jackson practices at 17200 E 10 Mile Rd, Eastpointe, MI 48021. The listed phone number is (313) 324-2144.

What is Bryanna 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 Bryanna Jackson was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.