Type 1 individualNPI 1053080622
MRS. JACQUELYN DENISE JACKSON RN, BSN, MSN-PH, AN
163WC0400X · FT RILEY, KS
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 163WC0400X | 163WC0400X | Primary |
| 163W00000X | 163W00000X | Additional |
| 2083P0901X | 2083P0901X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s