Katrina Margaret Jackson, CNP

Nurse Practitioner · Maplewood, MN

Individual Active NPI

NPI number 1588979306

Practice location

1580 Beam Ave
Maplewood, MN 55109-1127
Phone
(651) 779-7978
Fax
(651) 779-7656

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NPI record

NPI
1588979306
Entity type
Individual (Type 1)
Enumeration date
August 17, 2010
Last updated
November 21, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 2397795 MN
Nurse Practitioner 363L00000X 4704285871 MI
Nurse Practitioner 363L00000X 11676 OH

Mailing address

2550 University Ave W Ste 110n
Saint Paul, MN 55114-2001
Phone
(651) 602-5309
Fax
(651) 222-6786

About Katrina Jackson

Katrina Margaret Jackson, CNP is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1580 Beam Ave, Maplewood, MN 55109-1127. The NPI number 1588979306 was assigned on August 17, 2010 and the record was last updated on November 21, 2017.

Katrina Jackson lists 3 licenses in the registry: #2397795 (MN) for Nurse Practitioner; #4704285871 (MI) for Nurse Practitioner; #11676 (OH) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Katrina Margaret Jackson, CNP?

The NPI number is 1588979306.

What is the phone number of Katrina Jackson?

The phone number listed for the practice location is (651) 779-7978.

Where is Katrina Jackson located?

1580 Beam Ave, Maplewood, MN 55109-1127.

What is the taxonomy code for Katrina Jackson?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 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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