Individual provider · Type 1 NPI

Kimberly Ann Jackson, N.P.

Nurse Practitioner · Mount Vernon, IN

NPI number 1699001289 Active

Practice location

813 E 4th St, Ste A
Mount Vernon, IN 47620-2012

Fax (812) 838-9214

Mailing address

PO Box 1510
Evansville, IN 47706-1510

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71003090A (IN)
Family Nurse Practitioner 363LF0000X71003090A (IN)

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…

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About NPI 1699001289

Kimberly Ann Jackson, N.P.'s National Provider Identifier is 1699001289, issued on Nov 2, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mount Vernon, IN. The record was last updated on Jan 3, 2013.