Individual provider · Type 1 NPI
Kimberly A. Jackson, PMHNP, FNP
Psychiatric/Mental Health Nurse Practitioner · Brooklyn, NY
NPI number
1083923353
Active
Practice location
266 Broadway Ste 401
Brooklyn, NY 11211-6306
Fax (914) 222-8973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 336506 (NY) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12.007638 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403954 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1083923353
Kimberly A. Jackson, PMHNP, FNP's National Provider Identifier is 1083923353, issued on Oct 4, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brooklyn, NY. The record was last updated on Jan 29, 2026.