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Kimberly Jackson

Nurse Practitioner - Primary Care

1402 Penn Ave
Pittsburgh , Pennsylvania 15221-2413

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Kimberly Jackson

Nurse Practitioner - Primary Care

1402 Penn Ave
Pittsburgh , Pennsylvania 15221-2413

(412) 224-9534

Write a Review Save Call

Kimberly Jackson

Nurse Practitioner - Primary Care

1402 Penn Ave
Pittsburgh , Pennsylvania 15221-2413

(412) 224-9534 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Primary Care

Languages spoken

  • English

Location

1402 Penn Ave Pittsburgh , Pennsylvania 15221-2413

First Address

  • Kimberly Jackson
  • 1402 Penn Ave
  • Pittsburgh, PA
  • Zip : 15221-2413
  • Phone : (412) 224-9534

Second Address

  • Kimberly Jackson
  • 1402 Penn Ave
  • Pittsburgh, PA
  • Zip : 15221-2413
  • Phone : (412) 224-9534

Reviews

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FAQs


Where did Kimberly Jackson attend graduate school?

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Where did Kimberly Jackson do her residency?

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Where did Kimberly Jackson do her fellowship?

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Is Kimberly Jackson board certified?

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What type of doctor is Kimberly Jackson

Nurse Practitioner - Primary Care

In what state does Kimberly Jackson practice in?

Pennsylvania

Where is Kimberly Jackson ’s practice located?

1402 Penn Ave , Pittsburgh, Pennsylvania, 15221-2413

What is Kimberly Jackson ’s gender?

Female

Is Kimberly Jackson a sole practitioner?

No

Is Kimberly Jackson accepting new patients?

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What languages does Kimberly Jackson speak?

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Does Kimberly Jackson accept insurance?

Yes, Kimberly Jackson accepts insurance

Does Kimberly Jackson offers telemedicine?

Kimberly Jackson has not indicated if she offers telemedicine

What is Kimberly Jackson ’s professional license number?

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What is Kimberly Jackson ’s NPI number?

1083380125

Does Kimberly Jackson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363LP2300X Nurse Practitioner - Primary Care SP024265 PA

National Provider Identifier

NPI 1083380125
Provider Name Kimberly Jackson
First Address Pittsburgh, PA 15221-2413
Second Address Pittsburgh, PA 15221-2413
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 18/08/2021
Last Update Date 18/08/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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