Lisa Jackson, LPN - Licensed Practical Nurse in Rochester Hills, MI

Lisa Jackson, LPN is a Licensed Practical Nurse based in Rochester Hills, Michigan. Lisa Jackson is licensed to practice in Michigan (license number 4703090363) and her current practice location is 2619 Product Dr, Rochester Hills, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 844-9650.

NPI number for Lisa Jackson is 1154655488 and her current mailing address is 2619 Product Dr, Rochester Hills, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154655488.

Contact Information

Lisa Jackson, LPN
2619 Product Dr,
Rochester Hills, MI 48309-3807
(248) 844-9650
Not Available



Provider's Profile

Full NameLisa Jackson
GenderFemale
SpecialityLicensed Practical Nurse
Location2619 Product Dr, Rochester Hills, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154655488
  • Provider Enumeration Date: 09/18/2009
  • Last Update Date: 09/18/2009

Medical Identifiers

Medical identifiers for Lisa Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154655488NPI-NPPES
3062098MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 4703090363 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Jackson, LPN
2619 Product Dr,
Rochester Hills, MI 48309-3807

Ph: (248) 844-9650
Lisa Jackson, LPN
2619 Product Dr,
Rochester Hills, MI 48309-3807

Ph: (248) 844-9650

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› Verified 1 days ago


Licensed Practical Nurse Nurses in Rochester Hills, MI

Seth Aguinaga,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1902 Star Batt Dr, Rochester Hills, MI 48309
Phone: 248-844-9650    
Michelle B Swinton, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2619 Product Dr, Suite 106, Rochester Hills, MI 48309
Phone: 248-844-9650    Fax: 248-855-9651
Tracy Rutherford, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1613 Star Beit Drive, Rochester Hills, MI 48309
Phone: 248-844-9650    
Tiffani Curtis,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1613 Star Batt Dr, Rochester Hills, MI 48309
Phone: 248-844-9650    
Sylvia Nelson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2619 Product Dr, Rochester Hills, MI 48309
Phone: 248-844-9650    
Latonya Lynn Tower-trotman,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2619 Product Dr, Suite 106, Rochester Hills, MI 48309
Phone: 248-844-9650    Fax: 248-844-9651

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