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

Kristyne Jackson

Individual provider Athletic Trainer · NPI 1063885333

Kristyne Jackson is an Athletic Trainer in Anderson, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
Specialties on file
3

Practice location Address checks out

1010 W 8th St
Anderson, IN 46016-2659
Phone: (765) 810-0830
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34009745A (IN)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063885333
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 8, 2015
Last updated in NPPESJuly 1, 2022
Certification dateJuly 1, 2022
Mailing address10395 E 500 S, Upland, IN 46989-9447

Other providers in Anderson