Individual
KIBIBI A JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
483 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2584
(770) 996-9400
Mailing address
483 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274-2584
(770) 996-9400
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN265070
GA
207Q00000X
Family Medicine Physician
RN265070
GA
363LF0000X
Family Nurse Practitioner
Primary
RN265070
GA
Other
Enumeration date
11/08/2020
Last updated
02/18/2026
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