Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HOLLY JACKSON
ActiveHOLLY JACKSON is a General Practice Nurse healthcare provider located in KENNETT, Missouri. NPI 1427597301 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · KENNETT, MO
Registration Details
- NPI Number
- 1427597301
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2017 (9.5215493804253 yrs)
- Last Updated
- Feb 13, 2017
- License
-
2014030506 (MO)
Practice Information
- Address
-
1109 JONES STKENNETT, MO, 638573824Browse MO providers · Browse ZIP 63857
- Phone
- 5733592600
- Primary Specialty
-
General Practice Nurse
163WG0000X
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.