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

Concraigretta Jackson

Individual provider Licensed Practical Nurse · NPI 1932741451

Concraigretta Jackson is a Licensed Practical Nurse in Warren, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

21124 Behrendt Ave
Warren, MI 48091-2774
Phone: (313) 743-2278
Show map & directions

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

Additional practice locations (1)

  • 21124 Behrendt Ave, Warren, MI 48091-2774 — (313) 743-2278

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703121283 (MI)

Record details

NPI number1932741451
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESOctober 16, 2019
Mailing address21124 Behrendt Ave, Warren, MI 48091-2774

Other providers in Warren