KIRSTEN EMELE JACKSON

BALTIMORE, MD
NPI1740090315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: MD  AC006941)
Additional Taxonomies363LA2100X Nurse Practitioner Acute Care
(Licence: FL  APRN11034507)
Enumeration Date2025-01-07
Last Update Date2025-08-20
Business Address
KIRSTEN EMELE JACKSON APRN
419 W REDWOOD ST STE 300
BALTIMORE, MD 21201-7003
Phone number: 410-328-5842
Mailing Address
KIRSTEN EMELE JACKSON APRN
PO BOX 64226
BALTIMORE, MD 21264-4226
Phone number: 667-214-1734