Individual
KIMBERLY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
532 BALTIMORE BLVD, WESTMINSTER, MD 21157-6117
(667) 367-2778
Mailing address
532 BALTIMORE BLVD, WESTMINSTER, MD 21157-6117
(667) 367-2778
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R158125
MD
Other
Enumeration date
08/30/2024
Last updated
11/11/2025
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