Individual provider · Type 1 NPI
Archia Denise Jackson, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MI
NPI number
1952293573
Active
Practice location
3075 Orchard Vista Dr SE
Grand Rapids, MI 49546-7069
Mailing address
5593 Corydalis Dr
Saginaw, MI 48603-1685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704235782 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1952293573
Archia Denise Jackson, PMHNP's National Provider Identifier is 1952293573, issued on Jul 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 28, 2026.