Individual
KAITLYN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 558-2438
Mailing address
2255 SWEETBRIAR DR, ALEXANDRIA, VA 22307-1550
(301) 848-9975
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024180806
VA
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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