Whalio Doctors

NPI 1003622580

Kylie Marie Jackson, RN

Practitioner Emergency Registered Nurse Minneapolis, MN

Practice location

Address
715 S 8th St, Minneapolis, MN 55404-7530
Phone
(612) 873-6963

Registered specialties

Emergency Registered Nurse Primary
Nursing Service Providers Taxonomy 163WE0003X Licence 2495609 (MN)

Registry record

NPI
1003622580
Entity type
Individual
Sex (as registered)
Female
NPI issued
9 Dec 2024
Record last updated
9 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.