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

Bryanna Jackson

Individual provider Licensed Practical Nurse · NPI 1639874282

Bryanna Jackson is a Licensed Practical Nurse in Eastpointe, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

17200 E 10 Mile Rd
Eastpointe, MI 48021-3355
Phone: (313) 324-2144
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 4703127352 (MI)

Record details

NPI number1639874282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 3, 2023
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address17200 E 10 Mile Rd, Eastpointe, MI 48021-3355

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