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Jackie Lavete Lucas

NPI 1427602531ActiveIndividual· Registered Nurse, Administrator· Southfield, MI

Registered Nurse, Administrator in Southfield, Michigan, licensed in MI, with an NPI issued in July 2019.

Overview

NPI1427602531
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 26, 2019
Last updated in NPPESJul 26, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Registered Nurse, Administrator Primary163WA2000X4704261129MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Registered Nurse, Administrator providers in Southfield

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