RUTH JACKSON NP NPI 1821731746

NPI Information

  • NPI: 1821731746
  • Provider Name: RUTH JACKSON, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 47650 BARBARA RD
    MACOMB, MI
    ZIP 48044
  • Phone: (248) 259-1768

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NPI Details

Ruth Jackson, NP is a family nurse practitioner in Macomb, MI. Ruth Jackson, NP NPI is 1821731746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

47650 BARBARA RD
MACOMB, MI
ZIP 48044-410
Phone: (248) 259-1768

The enumeration date for this NPI number is 4/18/2022 and was last updated on 4/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704330240MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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