National Provider Identifier
Kristen Jackson, RN, BSN
Kristen Jackson, RN, BSN is listed in the NPPES registry with a primary specialty of Registered Nurse in Blasdell, NY and a listed phone number of (631) 514-5308.
Profile Overview
- NPI
- 1255727061
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- April 08, 2015
- Last Updated
- April 08, 2015
Practice Location
- 4028 Connors Way
- Blasdell, NY 14219-2985
Phone: (631) 514-5308
Specialties
- Registered Nurse (163W00000X)
- Home Health Registered Nurse (163WH0200X)
- Low-Risk Neonatal Registered Nurse (163WN0003X)
- Neonatal Intensive Care Registered Nurse (163WN0002X)
Full Record
- NPI
- 1255727061
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Kristen
- Name Prefix
- Mrs.
- Credential
- RN, BSN
- Mailing Street Address
- 4028 Connors Way
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219-2985
- Mailing Country
- US
- Mailing Phone
- (631) 514-5308
- Practice Street Address
- 4028 Connors Way
- Practice City
- Blasdell
- Practice State
- NY
- Practice ZIP Code
- 14219-2985
- Practice Country
- US
- Practice Phone
- (631) 514-5308
- Enumeration Date
- April 08, 2015
- Last Updated
- April 08, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X), Home Health Registered Nurse (163WH0200X), Low-Risk Neonatal Registered Nurse (163WN0003X), Neonatal Intensive Care Registered Nurse (163WN0002X)