KIMBERLY ANN JACKSON

PROVIDENCE, KY
NPI1023135126
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: KY  1086349)
Enumeration Date2007-03-23
Last Update Date2018-03-02
Business Address
Mrs. KIMBERLY ANN JACKSON ARNP
215 E MAIN ST
PROVIDENCE, KY 42450-1261
Phone number: 270-667-7017
Mailing Address
Mrs. KIMBERLY ANN JACKSON ARNP
PO BOX 37
PROVIDENCE, KY 42450-0037
Phone number: 270-667-7017
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