Jackson, Jacquelyn Denise

Jackson, Jacquelyn Denise is an sole proprietor health care provider with primary practice located at 650 Huebner Rd , Ft Riley KS 66442-4030. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Nursing Service Providers / Case Management, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Case Management is her primary health care specialty. Jackson, Jacquelyn Denise can be contacted via phone (785) 239-7727.

Contact Information

Primary practice address
650 Huebner Rd Ft Riley KS 66442-4030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X R078719 Arkansas
Nursing Service Providers / Case Management 163WC0400X R078719 Arkansas
Nursing Service Providers / Registered Nurse 163W00000X R078719 Arkansas

Profile Details

NPI number 1053080622
LBN Legal business name Jackson, Jacquelyn Denise
Credentials RN, BSN, MSN-PH, AN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2021
Last updated Aug 8th, 2023 - about last year

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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