Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. KATHY L JACKSON
Active Sole ProprietorMRS. KATHY L JACKSON is a Private Vehicle healthcare provider located in MARSHALL, Illinois. NPI 1619283595 is currently active in the NPPES registry. Verify at CMS.
Private Vehicle · MARSHALL, IL
Registration Details
- NPI Number
- 1619283595
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2010 (15.97430137247 yrs)
- Last Updated
- Aug 30, 2010
- License
-
J250-5125-9895 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15685 N IRON BRIDGE RDMARSHALL, IL, 624414663Browse IL providers · Browse ZIP 62441
- Phone
- 8122416704
- Primary Specialty
-
Private Vehicle
347C00000X
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.