Individual provider · Type 1 NPI

Krystle Starr Marie Jackson, RN

Registered Nurse · Merrillville, IN

NPI number 1417754292 Active

Practice location

8701 Broadway
Merrillville, IN 46410-7035

Mailing address

5433 Van Buren St
Merrillville, IN 46410-1460

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X28208846A (IN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1417754292

Krystle Starr Marie Jackson, RN's National Provider Identifier is 1417754292, issued on Feb 27, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Merrillville, IN. The record was last updated on Feb 27, 2025.