Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Concraigretta Jackson

Individual provider Licensed Practical Nurse · NPI 1932741451

Concraigretta Jackson is a Licensed Practical Nurse in Warren, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

21124 Behrendt Ave
Warren, MI 48091-2774
Phone: (313) 743-2278
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21124 Behrendt Ave, Warren, MI 48091-2774 — (313) 743-2278

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703121283 (MI)

Record details

NPI number1932741451
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESOctober 16, 2019

Other providers in Warren