Individual
MS. KRISTIN ANN MONNAT JACKSON
Active
Individual
MS. KRISTIN ANN MONNAT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.0169297
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11154870
—
CO
05
—
137001400
—
WY
01
—
P01316455
RR MEDICARE
CO
Enumeration date
07/12/2011
Last updated
03/06/2020
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