KATHLEEN JACKMAN APRN NPI 1902844004

NPI Information

  • NPI: 1902844004
  • Provider Name: KATHLEEN JACKMAN, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 156 MAIN ST
    MONTPELIER, VT
    ZIP 05602
  • Phone: (802) 223-4738

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NPI Details

Kathleen Jackman, APRN is a family nurse practitioner in Montpelier, VT. Kathleen Jackman, APRN NPI is 1902844004. 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:

156 MAIN ST
MONTPELIER, VT
ZIP 05602-702
Phone: (802) 223-4738
Fax: (802) 223-6067

The enumeration date for this NPI number is 6/2/2006 and was last updated on 12/4/2014.

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
1163W00000XRegistered Nurse101-0026217VERMONTNo
2208D00000XGeneral Practice1010026217VERMONTNo
3363LF0000XNurse PractitionerFamily101.0026217VERMONTYes

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
1S74446MEDICARE UPIN
21009335MEDICAIDVERMONT
3NP3959MEDICARE PINVERMONT

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: 11/21/2025

NPI Synchronization or Removal

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