IndividualActive
Holly Jackson
NPI 1427597301 · General Practice Registered Nurse · Kennett, MO
Provider details
- NPI number
- 1427597301
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2014030506 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
1109 Jones St
Kennett, MO 63857-3824
Phone: (573) 359-2600
Approximate (ZIP-level) locationGet directions
Mailing address
1109 Jones St
Kennett, MO 63857-3824
Registry dates
- Enumerated
- 2017-02-13
- Last updated
- 2017-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.