Jelinda Alyacoub, LPN
Individual provider Active NPI Licensed Practical Nurse · Madison Heights, MI
NPI 1124436803 · NPPES record last updated Apr 9, 2025
Key facts
- NPI
- 1124436803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703094696 (MI)
- Practice address
- 28303 Dequindre Rd
Madison Heights, MI 48071-3040 - Phone
- (248) 658-1116
- NPI assigned
- Jul 26, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703094696 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703094696 | MI | Yes |
Addresses
Primary practice location
28303 Dequindre Rd
Madison Heights, MI 48071-3040
Mailing address
19911 N Great Oaks Cir
Clinton Township, MI 48036-2437
Phone (586) 741-8321
Other providers in Madison Heights, MI
- Nicole Ann Allen
- Adelina A Almachar
- Alpha Star Equipment Inc
- Olubunmi Oluremi Aluko
- Barbra Alvir
- America'S Best Contacts & Eyeglasses
- American Home Care Inc
- American Oncologic Associates of Michigan, PC
- Alexys Lorraine Anderson
- Jill Rochelle Anderson
All providers in Madison Heights, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.