KAREN D JACKSON CNS NPI 1730154907

NPI Information

NPI: 1730154907
Provider Name: KAREN D JACKSON, CNS
Classification: Clinical Nurse Specialist - 364SM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
102 N MAGDALEN ST
SAN ANGELO, TX
ZIP 76903
Phone: (325) 658-1511
Get Directions

Karen D Jackson, CNS is a medical-surgical clinical nurse specialist in San Angelo, TX. Karen D Jackson, CNS NPI is 1730154907. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

102 N MAGDALEN ST
SAN ANGELO, TX
ZIP 76903-400
Phone: (325) 658-1511

The enumeration date for this NPI number is 2/21/2006 and was last updated on 10/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	517132	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q62220	MEDICARE UPIN	TEXAS
2	8G3274	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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