Active NPIIndividual provider

Ms. Krystal Jackson, APRN

Nurse Practitioner, Acute Care in New Haven, Connecticut

NPI Number1497005011
Practice location
20 York St, New Haven, CT 06510-3220
Fax
—
Last updated
August 1, 2017

Krystal Jackson is a Nurse Practitioner, Acute Care based in New Haven, CT. Krystal Jackson practices in New Haven, CT and has the professional credentials of APRN. The NPI Number for Krystal Jackson is 1497005011 and holds a License No. 005078 (CT). The current practice location address for Krystal Jackson is 20 York St, New Haven, CT 06510-3220 and can be reached out via phone at 203-688-2300.

Provider Profile Details

NPI Number
1497005011
Provider Name
Krystal Jackson
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
20 York St, New Haven, CT 06510-3220
Phone Number
203-688-2300
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2012
Last Update Date
August 1, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 York St
New Haven, CT 06510-3220
Zip
06510-3220
Phone Number
203-688-2300
New Haven, CT 06510Get directions →

Provider Business Mailing Address Details

Address
282 Sunnydale Ave
Bristol, CT 06010
City
Bristol
State
CT
Zip
06010
Phone Number
347-610-4763

License Information

License Number
005078
License State
CT
Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Krystal Jackson, APRN?

The NPI number of Ms. Krystal Jackson, APRN is 1497005011. It was assigned on September 11, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Krystal Jackson, APRN?

Ms. Krystal Jackson, APRN is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in CT under license number 005078.

Where does Ms. Krystal Jackson, APRN practice?

The practice location is 20 York St, New Haven, CT 06510-3220. The office can be reached at 203-688-2300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497005011 directly on the NPPES registry website.

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