Individual provider · Type 1 NPI
Kimberly Jackson
Primary Care Nurse Practitioner · Pittsburgh, PA
NPI number
1083380125
Active
Practice location
1402 Penn Ave
Pittsburgh, PA 15221-2413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | SP024265 (PA) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1083380125
Kimberly Jackson's National Provider Identifier is 1083380125, issued on Aug 18, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Pittsburgh, PA. The record was last updated on Aug 18, 2021.