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Kimberly Marie Jackson, ACNPC-AG
Nurse Practitioner in Conway, South Carolina
NPI 1336682780

Kimberly Marie Jackson is a Nurse Practitioner based in Myrtle Beach, SC. Kimberly Marie Jackson practices in Conway, SC and has the professional credentials of ACNPC-AG. The NPI Number for Kimberly Marie Jackson is 1336682780 and holds a License No. 20986 (South Carolina).

The current practice location address for Kimberly Marie Jackson is 2376 Cypress Cir Ste 300, Conway, SC and can be reached out via phone at 843-353-3460.

Location: 2376 Cypress Cir Ste 300, Conway, SC, 29579-6706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336682780
Provider Name
Kimberly Marie Jackson
Credential
ACNPC-AG
Provider Entity Type
Individual
Gender
Female
Address
2376 Cypress Cir Ste 300, Conway, SC, 29579-6706
Phone Number
843-353-3460
Fax Number
Provider Enumeration Date
12/02/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20986 01 SC SC NURSING BOARD
institution
Provider Business Practice Location Address Details
Address
2376 Cypress Cir Ste 300
City
Conway
State
South Carolina
Zip
29526-8995
Phone Number
843-353-3460
Fax Number
person
Provider Business Mailing Address Details
Address
2376 Cypress Cir Ste 300
City
Conway
State
South Carolina
Zip
29526-8995
Phone Number
843-353-3460
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
20986 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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