Jackson, Anitra L
Jackson, Anitra L is an individual health care provider with primary practice located at 310 Smith Ave N , Saint Paul MN 55102-2393. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Jackson, Anitra L can be contacted via phone (952) 843-4333.Contact Information
Primary practice address
310 Smith Ave N
Saint Paul MN 55102-2393
Phone: (952) 843-4333
Fax: (952) 843-4301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | R1308387 | Minnesota |
Profile Details
| NPI number | 1497718811 |
|---|---|
| LBN Legal business name | Jackson, Anitra L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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