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

Archia Denise Jackson, REGISTEREDNURSE

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1952293573

Archia Denise Jackson, REGISTEREDNURSE is a Psychiatric/Mental Health Registered Nurse in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

3075 Orchard Vista Dr SE
Grand Rapids, MI 49546-7069
Phone: (989) 493-1964
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 4704235782 (MI)

Record details

NPI number1952293573
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedJuly 17, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025

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