NPI 1063885333

Kristyne Jackson

Practitioner Clinical Social Worker Anderson, IN

Practice location

Address: 1010 W 8th St, Anderson, IN 46016-2659
Phone: (765) 810-0830
Mailing address: 10395 E 500 S, Upland, IN 46989-9447

Registered specialties (3)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34009745A (IN)

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Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063885333
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2015
Record last updated: 1 Jul 2022

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.