Kimberly Jackson (NPI# 1215171798, PAC ID# 3476606385) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215171798 |
| PAC ID by PECOS | 3476606385 |
| Professional Enrollment ID | I20090724000377 |
| Full Name | Kimberly Jackson |
| Organization Legal Name | DOCTORS MEMORIAL HOSPITAL INC |
| Address |
333 N Byron Butler Pkwy Perry FL 32347-2300 |
| Phone Number | 8502235409 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092614503 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100106 | DOCTOR'S MEMORIAL HOSPITAL INC |
| 101301 | SHANDS LIVE OAK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 333 N Byron Butler Pkwy, Perry, FL 32347-2300 | 8502235409 | DOCTORS MEMORIAL HOSPITAL INC |
| Organization Legal Name | DOCTORS MEMORIAL HOSPITAL INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Hartlage | Cardiovascular Disease (cardiology) | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Marla Driver | Nurse Practitioner | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Ramel Failma | Family Medicine | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Tiffanee A Padgett | Nurse Practitioner | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Deborah J Goddard | Nurse Practitioner | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Miles V Nelson | General Surgery | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Tae In Yu | Family Medicine | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Carl Barry Dufour | Nurse Practitioner | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Street Address |
333 N BYRON BUTLER PKWY |
| City | PERRY |
| State | FL |
| Zip | 32347-2300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammed H Rafi | Internal Medicine | Dmh Emergency Physician Group, LLC | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Joti Keshav | Family Medicine | Dmh Emergency Physician Group, LLC | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| William Marchio | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Amy S Kirby | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| John M Rutledge | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Gregory A Mclanahan | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Gregory Hartlage | Cardiovascular Disease (cardiology) | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Michael William C Miller | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Lalitha B Mutnal | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| David J Hamrick | Certified Registered Nurse Anesthetist (crna) | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane Dodgen | Emergency Medicine | Premier Medical Clinic | 315 E Ash St, Perry, FL 32347-2029 |
| Abdul H Sofi | Internal Medicine | Premier Medical Clinic | 315 E Ash St, Perry, FL 32347-2029 |
| Dannette I Turner | Nurse Practitioner | Florida Department of Health | 1215 N Peacock Ave, Perry, FL 32347-2117 |
| Brett C Wenleder | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Agustin Vilardo | Family Medicine | Dmh Emergency Physician Group, LLC | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Marla Driver | Nurse Practitioner | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Aaron E Fuller | Family Medicine | Dmh Emergency Physician Group, LLC | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Ramel Failma | Family Medicine | Doctors Memorial Hospital Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Mark R Applegate | Anesthesiology | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| William C Dorsey | Anesthesiology Assistant | Anesthesiology Associates of Tallahassee Inc | 333 N Byron Butler Pkwy, Perry, FL 32347-2300 |
| Find all physicians in zip 32347 | |||
| City | PERRY |
| Zip Code | 32347 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PERRY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.