TYNETTA JACKSON
NPI 1932898269
Licensed Practical Nurse in Roseville, MI

Q: What is Tynetta Jackson's NPI number?

The NPI number for Tynetta Jackson is 1932898269. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Q: What is Tynetta 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 Tynetta Jackson was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 03, 2023

27621 GROVELAND ST, ROSEVILLE, MI 48066(248) 678-5637 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tynetta Jackson NPPES

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

TYNETTA JACKSON (NPI 1932898269) is an individual licensed practical nurse in Roseville, Michigan, licensed in Michigan (4703124495) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1932898269

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTYNETTA JACKSON

Location Address27621 GROVELAND STRoseville, MI 48066-4353

Mailing Address27621 Groveland StRoseville, MI 48066-4353

Phone(248) 678-5637

Sole ProprietorNo

Enumeration DateMay 3, 2023

NPPES CertifiedMay 3, 2023

✔ NPI 1932898269 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 · 4703124495

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.

27621 GROVELAND ST, Roseville, MI 48066

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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 Tynetta Jackson's NPI number?

The NPI number for Tynetta Jackson is 1932898269. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Tynetta Jackson located?

Tynetta Jackson practices at 27621 Groveland St, Roseville, MI 48066. The listed phone number is (248) 678-5637.

What is Tynetta 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 Tynetta Jackson was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.