Kristyne Jackson

NPI #1063885333 in Anderson, Indiana

Provider Information

NPI Number: 1063885333
Entity Type: Individual
Name: Kristyne Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 8, 2015
Last Updated: Jul 1, 2022

Practice Location

Address: 1010 W 8TH ST
City: Anderson
State: Indiana
ZIP Code: 46016-2659
Phone: (765) 810-0830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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