Jackson, Teresa Lynne

Jackson, Teresa Lynne is an sole proprietor health care provider with primary practice located at 118 N Summit St , Arkansas City KS 67005-2258. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jackson, Teresa Lynne can be contacted via phone (620) 506-5005.

Contact Information

Primary practice address
118 N Summit St Arkansas City KS 67005-2258
Phone: (620) 506-5005
Fax: (620) 506-5002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5377626021 Kansas

Profile Details

NPI number 1306372842
LBN Legal business name Jackson, Teresa Lynne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2017
Last updated Oct 4th, 2023 - about 3 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 1306372842 NPPES
Kansas Other 5377626021 FNP NUMBER

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