Kimberly Marie Jackson ACNPC-AG

  • NPI 1336682780
According to our database, the NPI number for Kimberly Marie Jackson ACNPC-AG is 1336682780 and activated since 7 years ago. Kimberly Marie Jackson ACNPC-AG is an individual provider who specializes in Nurse Practitioner, and the primary practice location is 128 Professional Park Dr Unit B, Conway, SC 29526. You can also contact Kimberly Marie Jackson ACNPC-AG via telephone number is (843) 449-1640. Provider NPI information was last updated on 03/17/2018.

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Overview of Kimberly Marie Jackson ACNPC-AG

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 12/02/2016
  • Last updated: 03/17/2018

Primary Scrop of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 20986
  • License State: SC

Provider Mailing Address

  • Address: 1938 Charlie Hall Blvd Unit B
    Charleston, SC 29414
  • Phone: (843) 402-0227
  • Fax: 843-402-0232

Provider Practice Location

  • Address: 128 Professional Park Dr Unit B
    Conway, SC 29526
  • Phone: 843-449-1640
  • Fax: 843-449-1605

Scope of Practice

  • Taxonomy Code: 363L00000X
  • Specialty: Nurse Practitioner
  • License Number: 20986
  • License State: SC
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 20986
  • Identifier Type: Other
  • Identifier State: SC
  • Issuer: SC NURSING BOARD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kimberly Marie Jackson ACNPC-AG?
  • A: The npi number for Kimberly Marie Jackson ACNPC-AG is 1336682780.
  • Q: What are Kimberly Marie Jackson ACNPC-AG's specialties?
  • A: Kimberly Marie Jackson ACNPC-AG's specialties are Nurse Practitioner and different specialities.
  • Q: What is the medical license for Kimberly Marie Jackson ACNPC-AG?
  • A: The medical license number for Kimberly Marie Jackson ACNPC-AG is 20986 and issued in SC in USA.
  • Q: Where is Kimberly Marie Jackson ACNPC-AG practice location?
  • A: Kimberly Marie Jackson ACNPC-AG is practicing at 128 Professional Park Dr Unit B, Conway, SC 29526.
  • Q: How to contact Kimberly Marie Jackson ACNPC-AG?
  • A: You can contact Kimberly Marie Jackson ACNPC-AG via 843-449-1640.
Medicare Specialty
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