Individual provider · Type 1 NPI

Anitra L. Jackson, NP

Medical-Surgical Registered Nurse · St. Paul, MN

NPI number 1497718811 Active

Practice location

310 Smith Ave N
St. Paul, MN 55102-2393

Fax (952) 843-4301

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse Primary 163WM0705XR1308387 (MN)

Medical-Surgical Registered Nurse: Definition to come...

14 other providers at this address

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About NPI 1497718811

Anitra L. Jackson, NP's National Provider Identifier is 1497718811, issued on Apr 7, 2006. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in St. Paul, MN. The record was last updated on Jul 13, 2026.