Kimberly Ann Jackson
PENNYRILE DISTRICT HEALTH DEPARTMENT


Address: 211 W Fairview Ave, Eddyville, KY 42038-8222
Phone: 2703889763

Kimberly Ann Jackson (NPI# 1023135126, PAC ID# 6406879634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1023135126
PAC ID by PECOS 6406879634
Professional Enrollment ID I20060113000125
Full Name Kimberly Ann Jackson
Organization Legal Name PENNYRILE DISTRICT HEALTH DEPARTMENT
Address 211 W Fairview Ave
Eddyville
KY 42038-8222
Phone Number 2703889763
Gender F
Credential NP
Graduation Year 1999
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6002854650
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
211 W Fairview Ave, Eddyville, KY 42038-8222 2703889763 PENNYRILE DISTRICT HEALTH DEPARTMENT

Organization Information

Organization Legal Name PENNYRILE DISTRICT HEALTH DEPARTMENT
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Michael P Gavin General Surgery Pennyrile District Health Department 211 W Fairview Ave, Eddyville, KY 42038-8222

Office Location

Street Address 211 W FAIRVIEW AVE
City EDDYVILLE
State KY
Zip 42038-8222

Physicians in the same location

Name Specialty Organization Address
Michael P Gavin General Surgery Pennyrile District Health Department 211 W Fairview Ave, Eddyville, KY 42038-8222

Physicians in the same zip code

Name Specialty Organization Address
Steve B Hiland General Practice 627 W Fairview Ave, Eddyville, KY 42038-7386
Teresa R White Nurse Practitioner Livingston Hospital and Healthcare Services, Inc. 209 W Main St, Eddyville, KY 42038-7752
Wyetha S Wood Nurse Practitioner Livingston Hospital and Healthcare Services, Inc. 209 W Main St, Eddyville, KY 42038-7752
Kent L Schoonover Chiropractic 21 State Route 3305 S, Eddyville, KY 42038-7915

Competitor

Search similar physicians

City EDDYVILLE
Zip Code 42038
Specialty NURSE PRACTITIONER
City + Specialty EDDYVILLE + NURSE PRACTITIONER

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Dataset Information

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.

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