Individual provider · Type 1 NPI

Katrina Margaret Jackson, CNP

Nurse Practitioner · Maplewood, MN

NPI number 1588979306 Active

Practice location

1580 Beam Ave
Maplewood, MN 55109-1127

Fax (651) 779-7656

Mailing address

2550 University Ave W Ste 110N
St. Paul, MN 55114-2001

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X4704285871 (MI)
Nurse Practitioner 363L00000X11676 (OH)
Nurse Practitioner Primary 363L00000X2397795 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1588979306

Katrina Margaret Jackson, CNP's National Provider Identifier is 1588979306, issued on Aug 17, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Maplewood, MN. The record was last updated on Nov 21, 2017.