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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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