Jackson, Tynetta
Jackson, Tynetta is an individual health care provider with primary practice located at 27621 Groveland St , Roseville MI 48066-4353. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Tynetta can be contacted via phone (248) 678-5637.Contact Information
Primary practice address
27621 Groveland St
Roseville MI 48066-4353
Phone: (248) 678-5637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 4703124495 | Michigan |
Profile Details
| NPI number | 1932898269 |
|---|---|
| LBN Legal business name | Jackson, Tynetta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2023 |
| Last updated | May 3rd, 2023 - about 3 years ago |
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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