Individual
KASSANDRA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
5504 AMERADA CIR APT 1033, ARLINGTON, TX 76017-0568
(507) 649-0546
Mailing address
5504 AMERADA CIR APT 1033, ARLINGTON, TX 76017-0568
(507) 649-0546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2466138
MN
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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