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KAITLIN JACKSON
NPI 1104707918
Student in an Organized Health Care Education/Training Program in Saint Joseph, MO

Active since September 09, 2025
5604 VALLEY VIEW DR APT A, SAINT JOSEPH, MO 64503(816) 286-9583 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kaitlin Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLIN JACKSON (NPI 1104707918) is an individual student in an organized health care education/training program in Saint Joseph, Missouri and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1104707918
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLIN JACKSON
Location Address5604 VALLEY VIEW DR APT ASaint Joseph, MO 64503-1979
Mailing Address5604 Valley View Dr Apt ASaint Joseph, MO 64503-1979
Phone(816) 286-9583
Sole ProprietorNo
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1104707918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5604 VALLEY VIEW DR APT A, Saint Joseph, MO 64503
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlin Jackson's NPI number?

The NPI number for Kaitlin Jackson is 1104707918. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Kaitlin Jackson located?

Kaitlin Jackson practices at 5604 Valley View Dr Apt A, Saint Joseph, MO 64503. The listed phone number is (816) 286-9583.

What is Kaitlin Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kaitlin Jackson was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.