Jackson, Kacie

Jackson, Kacie is an individual health care provider with primary practice located at 1405 Library Cir , Grand Forks ND 58201-6317. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jackson, Kacie can be contacted via phone (701) 223-2417.

Contact Information

Primary practice address
1405 Library Cir Grand Forks ND 58201-6317
Phone: (701) 223-2417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1437872975
LBN Legal business name Jackson, Kacie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2022
Last updated Sep 20th, 2022 - about 3 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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