Individual provider · Type 1 NPI

Kaitlin Jackson

Student in an Organized Health Care Education/Training Program · St. Joseph, MO

NPI number 1104707918 Active

Practice location

5604 Valley View Dr Apt A
St. Joseph, MO 64503-1979

Call (816) 286-9583 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104707918

Kaitlin Jackson's National Provider Identifier is 1104707918, issued on Sep 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Joseph, MO. The record was last updated on Sep 9, 2025.