Individual
KIMBERLY N JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1945 N 17TH ST, MILWAUKEE, WI 53205-1627
(414) 406-1406
(414) 933-9533
Mailing address
1945 N 17TH ST, MILWAUKEE, WI 53205-1627
(414) 406-1406
(414) 933-9533
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
170633-030
WI
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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