Jackson, Nikkitta Antoinette

Jackson, Nikkitta Antoinette is an sole proprietor health care provider with primary practice located at 20245 W 12 Mile Rd Ste 145 , Southfield MI 48076-6403. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Jackson, Nikkitta Antoinette can be contacted via phone (734) 299-0208.

Contact Information

Primary practice address
20245 W 12 Mile Rd Ste 145 Southfield MI 48076-6403
Phone: (734) 299-0208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 7501017098 Michigan
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703117130 Michigan

Profile Details

NPI number 1649727637
LBN Legal business name Jackson, Nikkitta Antoinette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2016
Last updated Dec 22nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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