SearchMinnesota374J00000X

Alyshia Jackson

NPI 1134050057 · on the registry since 2026 · sole proprietor

Practice

Address
9918 Vera Cruz Ln N
Brooklyn Park, MN 55443
Phone
(651) 230-6387

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota