Individual
KAITLYN ELIZABETH JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13351 S ARAPAHO DR, OLATHE, KS 66062-1520
(913) 353-3000
Mailing address
13351 S ARAPAHO DR, OLATHE, KS 66062-1520
(913) 353-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-85298-012
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
TMP-163371
KS
Other
Enumeration date
02/05/2026
Last updated
02/23/2026
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