Individual
MS. KIMBERLY A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
266 BROADWAY STE 401, BROOKLYN, NY 11211-6306
(347) 696-1375
(914) 222-8973
Mailing address
266 BROADWAY STE 401, BROOKLYN, NY 11211-6306
(347) 696-1375
(914) 222-8973
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
336506
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
12.007638
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03280733
—
NY
Enumeration date
10/04/2010
Last updated
01/29/2026
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