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

Mrs. Edna Ruth Jackson, RN

Individual provider Administrator Registered Nurse · NPI 1114097870

Mrs. Edna Ruth Jackson, RN is an Administrator Registered Nurse in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2395 W Grand Blvd
Detroit, MI 48208-1210
Phone: (313) 897-2061
Show map & directions

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

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X · Licence 4704118498 (MI)

Record details

NPI number1114097870
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESJuly 8, 2007

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