Kristyne Jackson

Clinical Social Worker · Anderson, IN

Individual Active NPI

NPI number 1063885333

Practice location

1010 W 8TH St
Anderson, IN 46016-2659
Phone
(765) 810-0830

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NPI record

NPI
1063885333
Entity type
Individual (Type 1)
Enumeration date
November 8, 2015
Last updated
July 1, 2022
Certified
July 1, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 34009745A IN
Athletic Trainer 2255A2300X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

10395 E 500 S
Upland, IN 46989-9447

About Kristyne Jackson

Kristyne Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 1010 W 8TH St, Anderson, IN 46016-2659. The NPI number 1063885333 was assigned on November 8, 2015 and the record was last updated on July 1, 2022.

Kristyne Jackson lists a license in the registry: #34009745A (IN) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kristyne Jackson?

The NPI number is 1063885333.

What is the phone number of Kristyne Jackson?

The phone number listed for the practice location is (765) 810-0830.

Where is Kristyne Jackson located?

1010 W 8TH St, Anderson, IN 46016-2659.

What is the taxonomy code for Kristyne Jackson?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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