Individual provider · Type 1 NPI
Kaydreyanna Jackson
Prosthetist · Mechanicsville, VA
NPI number
1265314496
Active
Practice location
7078 Mechanicsville Tpke
Mechanicsville, VA 23111-3629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetist Primary | 224P00000X | 1201132983 (VA) |
Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Another provider at this address
About NPI 1265314496
Kaydreyanna Jackson's National Provider Identifier is 1265314496, issued on Jul 21, 2025. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Mechanicsville, VA. The record was last updated on Jun 19, 2026.