NIKKITTA JACKSON

Licensed Practical Nurse

Active Individual
NPI: 1649727637

Practice Address

20245 W 12 MILE RD STE 145
Southfield, MI 48076

Phone: (734) 299-0208

Specialties

Specialty Code Primary License
Massage Therapist 225700000X No 7501017098 (MI)
Licensed Practical Nurse 164W00000X Yes 4703117130 (MI)

Frequently Asked Questions

NPI 1649727637 is the National Provider Identifier for NIKKITTA JACKSON, a Licensed Practical Nurse provider located in Southfield, MI. This NPI was enumerated on September 7, 2016.
NIKKITTA JACKSON practices at 20245 W 12 MILE RD STE 145, Southfield, MI 48076.

Quick Facts

NPI
1649727637
Type
Individual
Enumerated
Sep 7, 2016
Last Updated
Dec 22, 2025

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