Individual
KIRSTEN EMELE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
419 W REDWOOD ST STE 300, BALTIMORE, MD 21201-7003
(410) 328-5842
(410) 706-6976
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4226
(667) 214-1734
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AC006941
MD
363LA2100X
Acute Care Nurse Practitioner
APRN11034507
FL
Other
Enumeration date
01/07/2025
Last updated
08/20/2025
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