Individual
KIMBERLY ANN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
813 E 4TH ST, STE A, MOUNT VERNON, IN 47620-2012
(812) 838-2139
(812) 838-9214
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 838-2139
(812) 838-9214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003090A
IN
363LF0000X
Family Nurse Practitioner
71003090A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200976080
—
IN
Enumeration date
11/02/2009
Last updated
01/03/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us