person
Mrs. Kimberly Ann Jackson, ARNP
Women's Health Nurse Practitioner in Providence, Kentucky
NPI 1023135126

Kimberly Ann Jackson is a Women's Health Nurse Practitioner based in Providence, KY and is specialized in Women's Health. Kimberly Ann Jackson practices in Providence, KY and has the professional credentials of ARNP. The NPI Number for Kimberly Ann Jackson is 1023135126 and holds a License No. 1086349 (Kentucky).

The current practice location address for Kimberly Ann Jackson is 215 E Main St, Providence, KY and can be reached out via phone at 270-667-7017 and via fax at 270-667-9065. You can also correspond with Kimberly Ann Jackson through the mailing address at PO BOX 37, PROVIDENCE, KY - 42450-0037 (mailing address contact number: 270-667-7017).

Location: 215 E Main St, Providence, KY, 42450-0037
person
Provider Profile Details
NPI Number
1023135126
Provider Name
Kimberly Ann Jackson
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
215 E Main St, Providence, KY, 42450-0037
Phone Number
270-667-7017
Fax Number
270-667-9065
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K185610 01 KY MEDICARE - RHCA
7100128660 05 KY
institution
Provider Business Practice Location Address Details
Address
215 E Main St
City
State
Zip
42450-1261
Phone Number
270-667-7017
Fax Number
270-667-9065
person
Provider Business Mailing Address Details
Address
215 E Main St
City
State
Zip
42450-1261
Phone Number
270-667-7017
Fax Number
270-667-9065
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
1086349 (Kentucky)
Definition
Definition to come...
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