Individual provider · Type 1 NPI
Kathleen Anne Jackson
Nurse Practitioner · Boston, MA
Practice location
55 Fruit St
Boston, MA 02114-2621
Mailing address
160 Osgood St
Andover, MA 01810-5410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 164460 (MA) |
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 1356893689
Kathleen Anne Jackson's National Provider Identifier is 1356893689, issued on Nov 3, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Nov 3, 2016.