KIMBERLY ANN JACKSON

MOUNT VERNON, IN
NPI1699001289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71003090A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IN  71003090A)
Enumeration Date2009-11-02
Last Update Date2013-01-03
Business Address
-- KIMBERLY ANN JACKSON N.P.
813 E 4TH ST STE A
MOUNT VERNON, IN 47620-2012
Phone number: 812-838-2139
Mailing Address
-- KIMBERLY ANN JACKSON N.P.
PO BOX 1510
EVANSVILLE, IN 47706-1510
Phone number: 812-838-2139
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