Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN JACKSON, FNP-C
Active Sole ProprietorKRISTEN JACKSON, FNP-C is a Nurse Practitioner healthcare provider located in ELMWOOD, Illinois. NPI 1316465347 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ELMWOOD, IL
Registration Details
- NPI Number
- 1316465347
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2017 (8.9720772467843 yrs)
- Last Updated
- Jul 7, 2021
- Licenses
-
041412141 (IL)209016808 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1024 N MAGNOLIA STELMWOOD, IL, 615299602Browse IL providers · Browse ZIP 61529
- Phone
- 3097426334
- Fax
- 3096496880
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in ELMWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CRISTY M LANE | MS FNP | 1669434668 |
| MRS. PAMELA J GARNER | MS FNP | 1306028212 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.