Individual provider · Type 1 NPI
Carol Diane Jackson, ARNP
Family Nurse Practitioner · Lansing, KS
NPI number
1467420083
Active
Practice location
712 First Terrace, #200
Lansing, KS 66043-1735
Fax (913) 351-1346
Mailing address
8929 Parallel Parkway, Pmg-Physician Credentialing Attn Kathleen
Kansas City, KS 66112-1689
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 53-45399-121 (KS) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Lansing
About NPI 1467420083
Carol Diane Jackson, ARNP's National Provider Identifier is 1467420083, issued on Mar 9, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lansing, KS. The record was last updated on Mar 24, 2016.