Jackson, Katherine Anne

Jackson, Katherine Anne is an individual health care provider with primary practice located at 2711 Santa Cruz Ave Se , Albuquerque NM 87106-3042. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / School, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / School is her primary health care specialty. Jackson, Katherine Anne can be contacted via phone (505) 450-2721.

Contact Information

Primary practice address
2711 Santa Cruz Ave Se Albuquerque NM 87106-3042
Phone: (505) 450-2721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X R62903 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-02233 New Mexico

Profile Details

NPI number 1386078863
LBN Legal business name Jackson, Katherine Anne
Credentials CFNP, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2013
Last updated Jan 26th, 2021 - about 5 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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