Kimberly Ann Jackson in Providence - Women's Health

Kimberly Ann Jackson - NPI 1023135126

Kimberly Ann Jackson is a Women's Health in Providence, Kentucky. Kimberly Ann Jackson practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Kimberly Ann Jackson is 1023135126. The last update date is 2018-03-02.

Kimberly Ann Jackson's current location address is Po Box 37, Providence, Kentucky. You can contact this provider via phone number 2706677017 and fax number 2706679065. The mailing address for Kimberly Ann Jackson is Po Box 37, Providence, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Ann Jackson
Address Po Box 37, Providence, Kentucky
Phone Number 2706677017
Fax Number 2706679065
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1023135126
Provider Enumeration Date 2007-03-23
Last Updated Date 2018-03-02

Provider Mailing Address Detail

Address Po Box 37
City Providence
State Kentucky (KY)
Post Code 424500037
Phone Number 2706677017
Fax Number 2706679065

Provider's Primary Taxonomy Detail

Speciality Women's Health
Taxonomy 363Lw0102X
Licence No 1086349
Definition:
An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K185610 KY MEDICARE - RHCA
7100128660 KY --

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FAQs about Kimberly Ann Jackson

What is the unique 10-digit identification code assigned to Kimberly Ann Jackson by the Centers for Medicare & Medicaid Services?

The Kimberly Ann Jackson has been issued the NPI (National Provider Identifier) 1023135126, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Kimberly Ann Jackson is geographically located?

The Kimberly Ann Jackson is physically situated at the following location: Po Box 37, Providence, KY, 424500037.

What is Kimberly Ann Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kimberly Ann Jackson is Women's Health, and the taxonomy classification code that categorizes this area of expertise is 363Lw0102X.

On what date did Kimberly Ann Jackson receive its 1023135126 assignment from the Centers for Medicare & Medicaid Services?

The Kimberly Ann Jackson was assigned its 1023135126 on 2007-03-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kimberly Ann Jackson most recently updated?

The details pertaining to the Kimberly Ann Jackson, including its address, specialty, and other relevant information, were last refreshed on 2018-03-02.

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