Kristin Jackson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.372974 Issued in OH

Practice address

69460 Provident Rd
Saint Clairsville, OH 43950-9207

Phone

(740) 359-7698

NPI assigned

May 21, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1164214441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69460 PROVIDENT RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509207",
            "telephone_number": "740-359-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69460 PROVIDENT RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509207",
            "telephone_number": "740-359-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KRISTIN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.372974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Anne Iafrate
• Interim Healthcare Hospice of Ohio, Inc.
• Interim Healthcare of SE Ohio Inc
• Interim Healthcare of SE Ohio Inc.
• Robert Thornton Irwin, L.I.C.D.C.
• Sharon Jackson
• Travis James
• Deborah Jeffers
• Jeremy Allen Jeffreys
• Amy Jenkins, RDN

• Registered Nurse in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.