Jackson, Kristie

Jackson, Kristie is an individual health care provider with primary practice located at 4230 Harding Pike Suite 330, Nashville TN 37205. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Jackson, Kristie can be contacted via phone (615) 269-4545.

Contact Information

Primary practice address
4230 Harding Pike Suite 330 Nashville TN 37205
Phone: (615) 269-4545
Fax: (615) 565-6789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN0000010926 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2004003624 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 10926 Tennessee

Profile Details

NPI number 1891765970
LBN Legal business name Jackson, Kristie
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 10th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891765970 NPPES
Tennessee MEDICAID 1519858
Tennessee Other 6011957
Tennessee Other P01167551

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