Tynetta Jackson

NPI #1932898269 in Roseville, Michigan

Provider Information

NPI Number
1932898269
Entity Type
Individual
Name
Tynetta Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 3, 2023
Last Updated
May 3, 2023

Practice Location

Address
27621 GROVELAND ST
ZIP Code
48066-4353
Phone
(248) 678-5637

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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