IndividualActive
Kathleen Jackson, AG-ACNP
NPI 1699108209 · Acute Care Nurse Practitioner · Saint Paul, MN
Provider details
- NPI number
- 1699108209
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AG-ACNP
- Sex
- Female
- Sole proprietor
- No
- License
- R-169854-7 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1700 University Ave W Fl 6
Saint Paul, MN 55104-3727
Phone: (651) 232-2273
Approximate (ZIP-level) locationGet directions
Mailing address
5036 Logan Ave S
Minneapolis, MN 55419-1018
Registry dates
- Enumerated
- 2013-08-19
- Last updated
- 2018-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.