Kimberly Jackson (NPI# 1699001289, PAC ID# 7517094279) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1699001289 |
| PAC ID by PECOS | 7517094279 |
| Professional Enrollment ID | I20100428000963 |
| Full Name | Kimberly Jackson |
| Organization Legal Name | DEACONESS CLINIC INC |
| Address |
813 E 4th St Suite A Mount Vernon IN 47620-2012 |
| Phone Number | 8124501325 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375610116 |
| Number of Group Practice Members | 264 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150082 | DEACONESS HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 421 Chestnut St, Evansville, IN 47713-1227 | 8124266645 | DEACONESS CLINIC INC |
| 4506 1st Ave, Deaconess Clinic, Evansville, IN 47710-3624 | 8124286161 | DEACONESS CLINIC INC |
| 813 E 4th St, Suite A, Mount Vernon, IN 47620-2012 | 8124501325 | DEACONESS CLINIC INC |
| Organization Legal Name | DEACONESS CLINIC INC |
| Physicians | 281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Yeh | Family Medicine | Deaconess Clinic Inc | 4949 Healthy Way, Suite A, Evansville, IN 47715-1180 |
| Hailey E Riggs | Physician Assistant | Deaconess Clinic Inc | 813 E 4th St, Suite A, Mount Vernon, IN 47620-2012 |
| Brittany P Wethington | Nurse Practitioner | Deaconess Clinic Inc | 3434 W State Rd, Suite 66, Rockport, IN 47635-9259 |
| Amanda D Strathmann | Nurse Practitioner | Deaconess Clinic Inc | 3150 Warrick Dr, Boonville, IN 47601-8602 |
| Michael A Roof | Family Medicine | Deaconess Clinic Inc | 10455 Orthopaedic Dr, Newburgh, IN 47630-7955 |
| Kara E Holscher | Nurse Practitioner | Deaconess Clinic Inc | 1414 W Broadway St, Deaconess Clinic Express Princeton, Princeton, IN 47670-1142 |
| Kara E Sjogren | Family Practice | Deaconess Clinic Inc | 310 W Iowa St, Evansville, IN 47710-1724 |
| Joy D Goben | Nurse Practitioner | Deaconess Clinic Inc | 2710 Heartland Crossing Blvd, Owensboro, KY 42303-7674 |
| David A Craig | Family Medicine | Deaconess Clinic Inc | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 |
| Leslie S Hubert | Nurse Practitioner | Deaconess Clinic Inc | 4506 1st Ave, Deaconess Clinic, Evansville, IN 47710-3624 |
| Street Address |
813 E 4TH ST SUITE A |
| City | MOUNT VERNON |
| State | IN |
| Zip | 47620-2012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey E Riggs | Physician Assistant | Deaconess Clinic Inc | 813 E 4th St, Suite A, Mount Vernon, IN 47620-2012 |
| Suhail Sami Daye | General Surgery | County of Ward | 813 E 4th St, Sandhils Fam Clin, Monahans, TX 79756-4015 |
| Alyssa J Stocke | Physician Assistant | Deaconess Clinic Inc | 813 E 4th St, Suite A, Mount Vernon, IN 47620-2012 |
| William E Sutton | Family Practice | Deaconess Clinic Inc | 813 E 4th St, Mount Vernon, IN 47620-2012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle O Rapp | Family Medicine | 1900 W 4th St, Mount Vernon, IN 47620-0717 | |
| Michael Constancio Respicio Mahinay Iv | Physical Therapy | Rehabfocus LLC | 1272 Main St, Mount Vernon, IN 47620-1365 |
| Gemma Lorna Daquipa Mahinay | Physical Therapy | Rehabfocus LLC | 1272 Main St, Mount Vernon, IN 47620-1365 |
| Lindsey M Whitney | Chiropractic | 1001 Main St, Mount Vernon, IN 47620-1561 | |
| Sarah H Appel | Optometry | 230 W 3rd St, Mount Vernon, IN 47620-1815 | |
| James A Rice | Family Medicine | 232 Walnut St, Mount Vernon, IN 47620-1857 | |
| Wendy James | Clinical Social Worker | Southwestern Behavioral Healthcare, Inc. | 309 N Sawmill St, Mount Vernon, IN 47620-2006 |
| Allyson Huett | Clinical Social Worker | Southwestern Behavioral Healthcare, Inc. | 309 N Sawmill St, Mount Vernon, IN 47620-2006 |
| Elizabeth C Arnold | Clinical Social Worker | Southwestern Behavioral Healthcare, Inc. | 309 N Sawmill St, Mount Vernon, IN 47620-2006 |
| Nathan John Miller | Physical Therapy | Rehabilitation and Performance Institute Psc | 526 E 4th St, Mount Vernon, IN 47620-2061 |
| Find all physicians in zip 47620 | |||
| City | MOUNT VERNON |
| Zip Code | 47620 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOUNT VERNON + 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.