Kimika Jackson

NPI 1386136497 · on the registry since 2018 · sole proprietor

Practice

Address: 1661 Alpine Dr
Columbus, OH 43229
Phone: (614) 778-0815
Clinicians at this address: 2

Registry record

Primary taxonomy: 261QD1600X
261QD1600X
Also registered as: 175T00000X
385HR2060X
252Y00000X
103K00000X
101YA0400X
261QA0600X
251S00000X
251E00000X
320900000X
343900000X
101YM0800X
385H00000X
374U00000X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-12-11

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 Ohio