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

Kyla Jackson

Individual provider Licensed Practical Nurse · NPI 1306734561

Kyla Jackson is a Licensed Practical Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

4385 Nottingham Rd
Detroit, MI 48224-3421
Phone: (313) 658-2977
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 4703124046 (MI)

Record details

NPI number1306734561
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJune 26, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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