KIMBERLY JACKSON, AGNP-C
Clinic/Center - Community Health
Active
Individual
NPI: 1588293278
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | No | 23707 (SC) |
| Clinic/Center - Community Health | 261QC1500X | Yes | APN.23707 (SC) |
| Nurse Practitioner - Adult Health | 363LA2200X | No | APN.23707 (SC) |
Frequently Asked Questions
NPI 1588293278 is the National Provider Identifier for KIMBERLY JACKSON, AGNP-C, a Clinic/Center - Community Health provider located in Sumter, SC. This NPI was enumerated on April 4, 2020.
KIMBERLY JACKSON, AGNP-C practices at 940 MORNINGSIDE DR, Sumter, SC 29153.
Quick Facts
- NPI
- 1588293278
- Type
- Individual
- Enumerated
- Apr 4, 2020
- Last Updated
- Dec 27, 2021
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