Jackson, Kathleen Adele
Jackson, Kathleen Adele is an individual health care provider with primary practice located at 1700 University Ave W Fl 6 , Saint Paul MN 55104-3727. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson, Kathleen Adele can be contacted via phone (651) 232-2273.Contact Information
Primary practice address
1700 University Ave W Fl 6
Saint Paul MN 55104-3727
Phone: (651) 232-2273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R-169854-7 | Minnesota |
Profile Details
NPI number | 1699108209 |
---|---|
LBN Legal business name | Jackson, Kathleen Adele |
Credentials | AG-ACNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2013 |
Last updated | Sep 25th, 2018 - about 6 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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