Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anastasia Jackson

Individual provider Licensed Practical Nurse · NPI 1710703509

Anastasia Jackson is a Licensed Practical Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2024.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

7415 Artesian St
Detroit, MI 48228-4529
Phone: (313) 739-0487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703121090 (MI)

Record details

NPI number1710703509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2024
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

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