Individual provider · Type 1 NPI
Melissa Jackson, RN
General Practice Registered Nurse · St. Paul, MN
NPI number
1023834371
Active
Practice location
640 Jackson St
St. Paul, MN 55101-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 1850152 (MN) |
General Practice Registered Nurse: Definition to come...
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About NPI 1023834371
Melissa Jackson, RN's National Provider Identifier is 1023834371, issued on Dec 2, 2024. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in St. Paul, MN. The record was last updated on Dec 2, 2024.