Individual provider · Type 1 NPI

Stacey Jackson

Registered Nurse · Minot, ND

NPI number 1508301292 Active

Practice location

1015 S Broadway, Suite 18
Minot, ND 58701-4667

Fax (701) 857-8555

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XR38052 (ND)

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 1508301292

Stacey Jackson's National Provider Identifier is 1508301292, issued on Jan 4, 2017. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Minot, ND. The record was last updated on Jan 4, 2017.