Kimberly Jackson, ARNP

NPI 1215171798 · on the registry since 2009

Practice

Address: 140 Sw Virginia Cir
Mayo, FL 32066
Phone: (386) 294-1321
Fax: (386) 294-3876
Organisation at this address: Florida Department Of Health
Lafayette County Health Department-Dental Clinic
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida