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Beverly Jackson, REGISTERED NURSE
NPI 1205568870 · Registered Nurse · Detroit, MI
Beverly Jackson, REGISTERED NURSE is a Registered Nurse provider in Detroit, MI (NPI 1205568870).
Provider details
- NPI number
- 1205568870
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- No
- License
- 4704130066 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-3349
Street-level locationGet directions
Mailing address
20510 Faust Ave
Detroit, MI 48219-1551
Registry dates
- Enumerated
- 2022-06-30
- Last updated
- 2022-06-30
- Certified
- 2022-06-30
Frequently asked questions
- What is Beverly Jackson's NPI number?
- Beverly Jackson's National Provider Identifier (NPI) is 1205568870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Beverly Jackson's specialty?
- Beverly Jackson is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Beverly Jackson located?
- Beverly Jackson's practice location on file with NPPES is 4646 John R St, Detroit, MI 48201-1916.
- What is Beverly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Beverly Jackson is (313) 576-3349.
- Is Beverly Jackson's NPI active?
- Yes — Beverly Jackson's NPI (1205568870) is active in the NPPES registry as of the last update on 2022-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.