Individual provider · Type 1 NPI

Kelly Ann Jackson, FNP-BC

Family Nurse Practitioner · Sikeston, MO

NPI number 1053070110 Active

Practice location

1012 N Main St
Sikeston, MO 63801-5097

Call (573) 471-0330 Map

Fax (573) 471-0461

Mailing address

PO Box 801143
Kansas City, MO 64180-1143

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	2021028633 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1053070110

Kelly Ann Jackson, FNP-BC's National Provider Identifier is 1053070110, issued on Dec 15, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sikeston, MO. The record was last updated on Dec 22, 2021.