Individual provider · Type 1 NPI

Kevin Jackson, CRNP

Family Nurse Practitioner · Monroeville, PA

NPI number 1376263350 Active

Practice location

2626 Haymaker Rd Fl 2
Monroeville, PA 15146-3516

Mailing address

247 Morewood Ave
Pittsburgh, PA 15213-1861

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP026207 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1376263350

Kevin Jackson, CRNP's National Provider Identifier is 1376263350, issued on Aug 31, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Monroeville, PA. The record was last updated on Aug 31, 2022.