Kassandra Jackson, BSN
Registered Nurse in Arlington, TX. Individual provider (NPI-1).
NPI number1609758333
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1609758333
- Entity type
- Individual (NPI-1)
- Name
- Kassandra Jackson
- Credential
- BSN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 23, 2025
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 2466138 | MN | Yes |
Practice location
5504 Amerada Cir Apt 1033Arlington, TX 76017-0568
Phone 507-649-0546
Mailing address
5504 Amerada Cir Apt 1033Arlington, TX 76017-0568
Phone 507-649-0546
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