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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. ANITRA L JACKSON, NP

Active

Medical-Surgical Nurse · SAINT PAUL, MN

Registration Details

NPI Number
1497718811
Provider Type
Individual
Gender
Female
NPI Issued
Apr 7, 2006 (20.068138014063 yrs)
Last Updated
Jul 8, 2007
License
R1308387 (MN)

Practice Information

Address
310 SMITH AVE N
SAINT PAUL, MN, 551022393
Browse MN providers · Browse ZIP 55102
Phone
9528434333
Fax
9528434301
Primary Specialty
Medical-Surgical Nurse
163WM0705X

Other Medical-Surgical Nurse Providers in SAINT PAUL, MN

Name Credential NPI
JUDITH BOURLAND RNFA 1407828023
MRS. MARY JEAN CABANALAN PARAY RN 1669134953
VANESSA HARGENS 1255092425
SAMANTHA WATKINS 1528882537
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.