Individual provider · Type 1 NPI
Krystal Jackson, APRN
Acute Care Nurse Practitioner · New Haven, CT
NPI number
1497005011
Active
Practice location
20 York St
New Haven, CT 06510-3220
Mailing address
282 Sunnydale Ave
Bristol, CT 06010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 005078 (CT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1497005011
Krystal Jackson, APRN's National Provider Identifier is 1497005011, issued on Sep 11, 2012. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New Haven, CT. The record was last updated on Aug 1, 2017.