IndividualActive
Archia Jackson, REGISTERED NURSE
NPI 1952293573 · Psychiatric/Mental Health Registered Nurse · Grand Rapids, MI
Provider details
- NPI number
- 1952293573
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704235782 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
3075 Orchard Vista Dr Se
Grand Rapids, MI 49546-7069
Phone: (989) 493-1964
Approximate (ZIP-level) locationGet directions
Mailing address
5593 Corydalis Dr
Saginaw, MI 48603-1685
Registry dates
- Enumerated
- 2025-07-17
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.