Individual
KATRINA MARGARET JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1580 BEAM AVE, MAPLEWOOD, MN 55109-1127
(651) 779-7978
(651) 779-7656
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5309
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11676
OH
363L00000X
Nurse Practitioner
Primary
2397795
MN
363L00000X
Nurse Practitioner
4704285871
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201010130
—
IN
05
—
3080713
—
OH
05
—
7100132960
—
KY
Enumeration date
08/17/2010
Last updated
11/21/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us