NPI 1265314496

Kaydreyanna Jackson

Practitioner Prosthetist Mechanicsville, VA

Practice location

Address: 7078 Mechanicsville Tpke, Mechanicsville, VA 23111-3629
Phone: (804) 803-2249

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1201132983 (VA)

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Registry record

NPI: 1265314496
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2025
Record last updated: 19 Jun 2026

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.