Individual provider · Type 1 NPI

Krista Jackson

Nurse Practitioner · Huntsville, AL

NPI number 1023907219 Active

Practice location

101 Sivley Rd SW
Huntsville, AL 35801-4421

Mailing address

303 Knotty Walls Rd SE
Owens Cross Roads, AL 35763-9038

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF06250801 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1023907219

Krista Jackson's National Provider Identifier is 1023907219, issued on Jul 1, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Huntsville, AL. The record was last updated on Jul 1, 2025.