Jackman, Kathleen

Jackman, Kathleen is an individual health care provider with primary practice located at 156 Main St , Montpelier VT 05602-2702. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackman, Kathleen can be contacted via phone (802) 223-4738.

Contact Information

Primary practice address
156 Main St Montpelier VT 05602-2702
Phone: (802) 223-4738
Fax: (802) 223-6067
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 101-0026217 Vermont
Allopathic & Osteopathic Physicians / General Practice 208D00000X 1010026217 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101.0026217 Vermont

Profile Details

NPI number 1902844004
LBN Legal business name Jackman, Kathleen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Dec 4th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902844004 NPPES
Vermont MEDICAID 1009335

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