Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Anne Jackson

Individual provider Nurse Practitioner · NPI 1356893689

Kathleen Anne Jackson is a Nurse Practitioner in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.

Licensed in
MA
In the registry since
2016

Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-0969
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 164460 (MA)

Record details

NPI number1356893689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2016
Last updated in NPPESNovember 3, 2016

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