Individual provider · Type 1 NPI

Kristen Jackson, FNP-C

Nurse Practitioner · Elmwood, IL

NPI number 1316465347 Active

Practice location

1024 N Magnolia St
Elmwood, IL 61529-9602

Fax (309) 649-6880

Mailing address

180 S Main St
Canton, IL 61520-2608

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041412141 (IL)
Nurse Practitioner Primary 363L00000X209016808 (IL)

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 1316465347

Kristen Jackson, FNP-C's National Provider Identifier is 1316465347, issued on Aug 30, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elmwood, IL. The record was last updated on Jul 7, 2021.