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KATHLEEN ANNE JACKSON
NPI 1356893689
Nurse Practitioner in Boston, MA

Active since November 03, 2016

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Anne Jackson NPPES

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

KATHLEEN ANNE JACKSON (NPI 1356893689) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (164460) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1356893689
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN ANNE JACKSON
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address160 Osgood StAndover, MA 01810-5410 · (978) 623-3387
Phone(617) 724-0969
Sole ProprietorNo
Enumeration DateNovember 3, 2016
✔ NPI 1356893689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 164460
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Kathleen Jackson's NPI number?

The NPI number for Kathleen Jackson is 1356893689. It was assigned to this individual provider in the NPPES registry on November 3, 2016.

Where is Kathleen Jackson located?

Kathleen Jackson practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-0969.

What is Kathleen Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kathleen Jackson was last updated on November 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.