Jackson, Kristopher

Jackson, Kristopher is an individual health care provider with primary practice located at 110 Willow St , New Bedford MA 02740. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Jackson, Kristopher can be contacted via phone (603) 781-0155.

Contact Information

Primary practice address
110 Willow St New Bedford MA 02740
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X SP013313 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN10011850 Massachusetts

Profile Details

NPI number 1437589827
LBN Legal business name Jackson, Kristopher
Credentials MSN, CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2013
Last updated Mar 27th, 2025 - about last year

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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