Jackson, Kristie Lynn
Jackson, Kristie Lynn is an sole proprietor health care provider with primary practice located at 3700 South Main Street , Blacksburg VA 24060. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Kristie Lynn can be contacted via phone (540) 953-5385.Contact Information
Primary practice address
3700 South Main Street
Blacksburg VA 24060
Phone: (540) 953-5385
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024167104 | Virginia |
Profile Details
| NPI number | 1053407817 |
|---|---|
| LBN Legal business name | Jackson, Kristie Lynn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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