| Mrs Kimberly Ann Jackson, ARNP | |
| 
					215 E Main St, Providence, KY 42450-1261  | |
| (270) 667-7017 | |
| (270) 667-9065 | 
| Full Name | Mrs Kimberly Ann Jackson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Women's Health | 
| Location | 215 E Main St, Providence, Kentucky | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023135126 | NPI | - | NPPES | 
| K185610 | Other | KY | MEDICARE - RHCA | 
| 7100128660 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 1086349 (Kentucky) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Kimberly Ann Jackson, ARNP Po Box 37, Providence, KY 42450-0037 Ph: (270) 667-7017  | Mrs Kimberly Ann Jackson, ARNP 215 E Main St, Providence, KY 42450-1261 Ph: (270) 667-7017  | 
Mrs. Christina Cole Chumley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 E Main St, Providence, KY 42450 Phone: 270-667-2023 Fax: 270-667-7518  | |
Lori R Marrero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065  | |
Mrs. Jennifer J Collins, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065  | |
Winona F Lambdin, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065  | |
Chelsey Aikins Bell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-9065  | |
Sharon Hodges, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 Fax: 270-667-5956  |