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Tynetta Jackson
Licensed Practical Nurse in Roseville, Michigan
NPI 1932898269

Tynetta Jackson is a Licensed Practical Nurse based in Roseville, MI. Tynetta Jackson practices in Roseville, MI. The NPI Number for Tynetta Jackson is 1932898269 and holds a License No. 4703124495 (Michigan).

The current practice location address for Tynetta Jackson is 27621 Groveland St, Roseville, MI and can be reached out via phone at 248-678-5637.

Location: 27621 Groveland St, Roseville, MI, 48066-4353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932898269
Provider Name
Tynetta Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
27621 Groveland St, Roseville, MI, 48066-4353
Phone Number
248-678-5637
Fax Number
Provider Enumeration Date
05/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27621 Groveland St
City
Roseville
State
Michigan
Zip
48066-4353
Phone Number
248-678-5637
Fax Number
person
Provider Business Mailing Address Details
Address
27621 Groveland St
City
Roseville
State
Michigan
Zip
48066-4353
Phone Number
248-678-5637
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703124495 (Michigan)
Definition
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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