Individual provider · Type 1 NPI

Kimberly Moniwue Gilmore Jackson, LPN

Licensed Practical Nurse · Lewiston, NY

NPI number 1811290141 Active

Practice location

5285 Lewiston Rd
Lewiston, NY 14092-1942

Fax (716) 298-3815

Mailing address

8521 Porter Rd Apt 108
Niagara Falls, NY 14304-1631

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2785861 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1811290141

Kimberly Moniwue Gilmore Jackson, LPN's National Provider Identifier is 1811290141, issued on Dec 8, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Lewiston, NY. The record was last updated on Dec 8, 2010.