Jackson, Kathleen J.

Jackson, Kathleen J. is an individual health care provider with primary practice located at 602 W Cuthbert Blvd Unit 26 , Haddon Township NJ 08108-3642. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jackson, Kathleen J. can be contacted via phone (856) 946-5180.

Contact Information

Primary practice address
602 W Cuthbert Blvd Unit 26 Haddon Township NJ 08108-3642
Phone: (856) 946-5180
Fax: (856) 946-5181
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X TP001754C Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NN06425500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NN06425500 New Jersey

Profile Details

NPI number 1073619037
LBN Legal business name Jackson, Kathleen J.
Credentials RN-APN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated May 23rd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073619037 NPPES
New Jersey MEDICAID 8780803
New Jersey Other P3845837/2854869
New Jersey Other 9765851
New Jersey Other 60037187

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