Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tynetta Jackson

Licensed Practical Nurse in Roseville, MI · enumerated 2023.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932898269

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Registry record

Entity type Individual (Type 1)

Name Tynetta Jackson

Sex Female

Practice address 27621 Groveland St, Roseville, MI, 48066

Phone (248) 678-5637

Enumeration date May 3, 2023

Last updated in NPPES May 3, 2023

Taxonomy & licenses

164W00000X Licensed Practical Nurse Nursing Service Providers · License 4703124495 (MI) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Tynetta Jackson?

Tynetta Jackson is registered in NPPES with the primary taxonomy of Licensed Practical Nurse. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-03.