Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN JACKSON
Active Sole ProprietorKATHLEEN JACKSON is a Podiatric Surgery healthcare provider located in VERNON, Florida. NPI 1427699685 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · VERNON, FL
Registration Details
- NPI Number
- 1427699685
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2019 (6.8835688198556 yrs)
- Last Updated
- Sep 30, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
3788 JACKSON COMMUNITY RDVERNON, FL, 324623440Browse FL providers · Browse ZIP 32462
- Phone
- 8505277197
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.