MRS. KAREN JACKSON CRNP NPI 1124274774

NPI Information

NPI: 1124274774
Provider Name: MRS. KAREN JACKSON, CRNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: BEACON MEDICAL LLC

PECOS Registration: Yes

Address:
107 NICOLE PL
DAPHNE, AL
ZIP 36526
Phone: (251) 533-6372
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MRS. Karen Jackson, CRNP is an acute care nurse practitioner in Daphne, AL with 17 years of experience. MRS. Karen Jackson, CRNP NPI is 1124274774. 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:

107 NICOLE PL
DAPHNE, AL
ZIP 36526-614
Phone: (251) 533-6372
Fax: (866) 282-4895

The NPI 1124274774 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 10/19/2009.

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	363LA2100X	Nurse Practitioner	Acute Care	1-087343	ALABAMA	No
2	363LA2100X	Nurse Practitioner	Acute Care	ARNP9287293	FLORIDA	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	P00720964	OTHER	FLORIDA	RAILROAD MEDICARE
2	BR835Z	MEDICARE PIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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