Organization · Type 2 NPI
Kristine M Staheli Jackson
Non-Pharmacy Dispensing Site · Dubuque, IA
NPI number
1205847845
Active
Practice location
Hillcrest Family Services Clinic, 220 W 7th St
Dubuque, IA 52001
Fax (563) 557-4447
Mailing address
PO Box 116
Dubuque, IA 52004-0116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | F066142 (IA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
About NPI 1205847845
Kristine M Staheli Jackson's National Provider Identifier is 1205847845, issued on Aug 10, 2006. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Dubuque, IA. The record was last updated on Aug 22, 2020.