Individual
MS. KIMBERLY L. JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IPC. M. ED, CIC
Contact information
Practice address
2881 NW 24TH CT, FORT LAUDERDALE, FL 33311-2800
(954) 707-8000
Mailing address
2881 NW 24TH CT, FORT LAUDERDALE, FL 33311-2800
(954) 707-8000
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
RN9475222
FL
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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