Search › South Carolina › 261QC1500X
Kimberly Jackson, AGNP-C
NPI 1588293278 · on the registry since 2020 · sole proprietor
Practice
- Address
- 940 Morningside Dr
Sumter, SC 29153 - Phone
- (914) 359-7442
- Fax
- (803) 883-4087
Registry record
- Primary taxonomy
- 261QC1500X
261QC1500X
- Also registered as
- 291U00000X
363LA2200X - Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-27
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 South Carolina