Kelsey Jackson
Nurse Practitioner, Family in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1457081002
StatusActive
Last updated in NPPESJun 15, 2022
Details
- NPI
- 1457081002
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2022
- Certification date
- Jun 15, 2022
- Last updated
- Jun 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APN.0997539-NP | CO | Yes |
Practice location
1625 Medical Center Pt Ste 215Colorado Springs, CO 80907-5798
Phone 719-452-8509
Mailing address
7376 Weatherwood DrColorado Springs, CO 80927-4168
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