Kathleen Adele Jackson
AG-ACNP | Nurse Practitioner - Acute Care | 13+ years Exp
1700 University Ave W Fl 6, Saint Paul
Minnesota, 55104-3727
651-232-2273
Kathleen Adele Jackson is a Saint Paul, Minnesota based nurse practitioner with 13 years of experience in Acute Care. She completed her graduation in 2013. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathleen Adele Jackson is R-169854-7 for Acute Care in Minnesota. Her current practice location is 1700 University Ave W Fl 6, Saint Paul. Patients can reach her at 651-232-2273. Kathleen Adele Jackson is AG-ACNP with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1699108209.
Kathleen Adele Jackson is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Kathleen Adele Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kathleen Adele Jackson |
| Specialization: | Acute Care Nurse Practitioner (ACNP) |
| Gender: | Female |
| Credentials: | AG-ACNP |
| Experience: | 13+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1700 University Ave W Fl 6, Saint Paul,
Minnesota, 55104-3727 |
| Phone: | 651-232-2273 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0345474581 |
| Enrollment ID: | I20131002000089 |
| NPI Number: | 1699108209 |
| NPI Enumeration Date: | 19 Aug, 2013 |
| NPI Last Update On: | 25 Sep, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathleen Adele Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| R-169854-7 | Acute Care | Minnesota | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (240001) | Robbinsdale, MN | Acute Care Hospital |
| (240080) | Minneapolis, MN | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kathleen Adele Jackson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Fairview Health Services (1951213057) | 464 |
| North Memorial Health Care (0042123028) | 459 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kathleen Adele Jackson
5036 Logan Ave S,
Minneapolis, Minnesota |
| Zip: | 55419-1018 |
| Phone Number: | 612-963-8189 |
Patients can reach Kathleen Adele Jackson at
1700 University Ave W Fl 6, Saint Paul, Minnesota or can
call to book an appointment on 651-232-2273.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.