NIKKITTA ANTOINETTE JACKSON
NPI 1649727637
Licensed Practical Nurse in Southfield, MI

Q: What is Nikkitta Jackson's NPI number?

The NPI number for Nikkitta Jackson is 1649727637. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Q: What is Nikkitta 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 Nikkitta Jackson was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 07, 2016

20245 W 12 MILE RD STE 145, SOUTHFIELD, MI 48076(734) 299-0208 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nikkitta Antoinette Jackson NPPES

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

NIKKITTA ANTOINETTE JACKSON (NPI 1649727637) is an individual licensed practical nurse in Southfield, Michigan, licensed in Michigan (4703117130) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1649727637

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameNIKKITTA ANTOINETTE JACKSON

Location Address20245 W 12 MILE RD STE 145Southfield, MI 48076-6403

Mailing Address20245 W 12 Mile RdSouthfield, MI 48076-5409 · (734) 299-0208

Phone(734) 299-0208

Sole ProprietorYes

Enumeration DateSeptember 7, 2016

Last NPPES UpdateDecember 22, 2025

NPPES CertifiedDecember 22, 2025

✔ NPI 1649727637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in MI · 4703117130

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.

Also ListedMassage TherapistTaxonomy 225700000X · License 7501017098 (MI)

20245 W 12 MILE RD STE 145, Southfield, MI 48076

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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 Nikkitta Jackson's NPI number?

The NPI number for Nikkitta Jackson is 1649727637. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Nikkitta Jackson located?

Nikkitta Jackson practices at 20245 W 12 Mile Rd Ste 145, Southfield, MI 48076. The listed phone number is (734) 299-0208.

What is Nikkitta 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 Nikkitta Jackson was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.