IndividualActive
Anitra Jackson, NP
NPI 1497718811 · Medical-Surgical Registered Nurse · Saint Paul, MN
Provider details
- NPI number
- 1497718811
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Credential
- NP
- Sex
- Female
- License
- R1308387 (MN)
Specialties & taxonomies
Nursing Service Providers
Practice location
310 Smith Ave N
Saint Paul, MN 55102-2393
Phone: (952) 843-4333
Fax: (952) 843-4301
Approximate (ZIP-level) locationGet directions
Mailing address
310 Smith Ave N
Saint Paul, MN 55102-2383
Registry dates
- Enumerated
- 2006-04-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.