SearchNorth Dakota3747P1801X

Kenita Jackson

NPI 1831791342 · on the registry since 2020 · sole proprietor

Practice

Address
919 16th St N Apt E
Fargo, ND 58102
Phone
(701) 205-7323

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Sex
Female
Record last updated
2020-11-10

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 North Dakota