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.
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 |
Address | Phone | Organization |
---|---|---|
211 W Fairview Ave, Eddyville, KY 42038-8222 | 2703889763 | PENNYRILE DISTRICT HEALTH DEPARTMENT |
Organization Legal Name | PENNYRILE DISTRICT HEALTH DEPARTMENT |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael P Gavin | General Surgery | Pennyrile District Health Department | 211 W Fairview Ave, Eddyville, KY 42038-8222 |
Street Address |
211 W FAIRVIEW AVE |
City | EDDYVILLE |
State | KY |
Zip | 42038-8222 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael P Gavin | General Surgery | Pennyrile District Health Department | 211 W Fairview Ave, Eddyville, KY 42038-8222 |
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 |
City | EDDYVILLE |
Zip Code | 42038 |
Specialty | NURSE PRACTITIONER |
City + Specialty | EDDYVILLE + NURSE PRACTITIONER |
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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.