Jackson, Kristie
Jackson, Kristie is an individual health care provider with primary practice located at 4230 Harding Pike Suite 330, Nashville TN 37205. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Jackson, Kristie can be contacted via phone (615) 269-4545.Contact Information
Primary practice address
4230 Harding Pike Suite 330
Nashville TN 37205
Phone: (615) 269-4545
Fax: (615) 565-6789
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN0000010926 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 2004003624 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 10926 | Tennessee |
Profile Details
NPI number | 1891765970 |
---|---|
LBN Legal business name | Jackson, Kristie |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2006 |
Last updated | Jul 10th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891765970 | NPPES |
Tennessee | MEDICAID | 1519858 | |
Tennessee | Other | 6011957 | |
Tennessee | Other | P01167551 |
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