Jackson, Kristen

Jackson, Kristen is an sole proprietor health care provider with primary practice located at 4028 Connors Way , Blasdell NY 14219-2985. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Home Health, Nursing Service Providers / Neonatal Intensive Care, Nursing Service Providers / Neonatal, Low-Risk. Nursing Service Providers / Registered Nurse is her primary health care specialty. Jackson, Kristen can be contacted via phone (631) 514-5308.

Contact Information

Primary practice address
4028 Connors Way Blasdell NY 14219-2985
Phone: (631) 514-5308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 658192 New York
Nursing Service Providers / Home Health 163WH0200X 658192 New York
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 658192 New York
Nursing Service Providers / Neonatal, Low-Risk 163WN0003X 658192 New York

Profile Details

NPI number 1255727061
LBN Legal business name Jackson, Kristen
Credentials RN, BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2015
Last updated Apr 8th, 2015 - about 11 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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