Individual provider · Type 1 NPI

Tana Jackson

Licensed Practical Nurse · Farmington Hills, MI

NPI number 1255218673 Active

Practice location

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Call (833) 476-5837 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703114920 (MI)

Licensed Practical Nurse: An individual 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.

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About NPI 1255218673

Tana Jackson's National Provider Identifier is 1255218673, issued on Aug 18, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Farmington Hills, MI. The record was last updated on Aug 18, 2025.