Faye Yvette Jackson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704245163 Issued in MI

Practice address

245 Pitkin St
Highland Park, MI 48203-3737

Phone

(313) 867-1500

NPI assigned

Aug 26, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1699653774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15193 HALLER ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544017",
            "telephone_number": "313-377-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PITKIN ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033737",
            "telephone_number": "313-867-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "FAYE",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704245163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imagine U
• Lasheekie Yolanda Irving
• Dina Louise Ivy, LPN
• Jack and Jill Transitional Living Inc.
• Ariel Jackson, RN
• Roderick O. Jackson, C.P.S.S.
• Jagneswar Saha DO PC
• Jagneswar Saha DO PC
• Ashwani Jaiswal, M.D.
• Nathaniel Alexander Jean-Baptiste

• Registered Nurse in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.