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

Jaclyn Jackson

Individual provider Licensed Practical Nurse · NPI 1306228978

Jaclyn Jackson is a Licensed Practical Nurse in Monroe, Michigan. Licensed in Michigan. Registered with an NPI since 2015.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

5259 Evergreen Dr
Monroe, MI 48161-3690
Phone: (734) 770-7318
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 4703115148 (MI)

Record details

NPI number1306228978
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2015
Last updated in NPPESJune 19, 2015
Mailing address5259 Evergreen Dr, Monroe, MI 48161-3690

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