MAIA J JACKSON - NPI 1841020674 - Licensed Practical Nurse in Waterford, MI

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Maia J Jackson NPPES

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

MAIA J JACKSON (NPI 1841020674) is an individual licensed practical nurse in Waterford, Michigan, licensed in Michigan (4703091783) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1841020674

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMAIA J JACKSON

Location Address2266 W WALTON BLVDWaterford, MI 48329-4430

Mailing Address2266 W Walton BlvdWaterford, MI 48329-4430 · (248) 513-5657

Phone(248) 513-5657

Sole ProprietorNo

Enumeration DateAugust 6, 2024

NPPES CertifiedAugust 6, 2024

✔ NPI 1841020674 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 · 4703091783

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.

2266 W WALTON BLVD, Waterford, MI 48329

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Frequently Asked Questions

What is Maia Jackson's NPI number?

The NPI number assigned to this healthcare provider is 1841020674, enumerated as an "individual" on August 06, 2024.

Where is the provider located?

The provider is located at 2266 W WALTON BLVD WATERFORD, MI 48329 and the phone number is (248) 513-5657.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.