Active NPI 1427597301 Individual Practitioner Female Practitioner

Holly Jackson

Registered Nurse - General Practice • Kennett, MO

Professional Overview & Biography Verified Profile Summary

Holly Jackson is a registered healthcare professional specializing in Registered Nurse - General Practice in Kennett, MO. Practice services are available at 1109 JONES ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1109 Jones St

Kennett, MO 638573824

Telephone 5733592600

Associated Practice Facility / Clinic

🏢 Family Counseling Center, Inc Facility NPI 1154700672

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Kennett, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Kennett, MO (72 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License MO 2014030506

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Monica Stone

Case Manager/Care Coordinator

NPI 1003214925

Sharlletta Jackson

Specialist/Technologist, Other

NPI 1003223876

Linda Lock

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1003343567

Helen Bennett , RASAC I

Case Manager/Care Coordinator

NPI 1033305792

RASACI

Tim Bowers

Technician, Other

NPI 1033531017

Hailey Roberts

Behavior Technician

NPI 1033758529

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 13, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location February 13, 2017

Registered at 1109 JONES ST, KENNETT, MO 638573824 (Tel: 5733592600)

📍

Updated Business Mailing Address February 13, 2017

Registered at 1109 JONES ST, KENNETT, MO 638573824 (Tel: 5733592600)

👤

Provider Name / Credentials Updated February 13, 2017

Recorded as HOLLY JACKSON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2017

Registered Nurse (License #2014030506 in MO)

🟢

Initial NPI Registration & Enumeration February 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427597301

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 13, 2017

Last Update: February 13, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1109 Jones St

Kennett, MO 638573824

Phone: 5733592600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.