Individual provider · Type 1 NPI
Kimberly Chenault Jackson
Nurse Practitioner · Millbrook, AL
Practice location
222 Fairway Dr
Millbrook, AL 36054-1846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 1-170200 (AL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Other nurse practitioner providers in Millbrook
About NPI 1407796774
Kimberly Chenault Jackson's National Provider Identifier is 1407796774, issued on Mar 30, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Millbrook, AL. The record was last updated on Mar 30, 2026.