Kimberly Dianne Billie Jackson, AGNP-C
NPI #1588293278 in Sumter, South Carolina
Provider Information
- NPI Number
- 1588293278
- Entity Type
- Individual
- Name
- Kimberly Dianne Billie Jackson, AGNP-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Community Health
- Credential
- AGNP-C
- Enumeration Date
- Apr 4, 2020
- Last Updated
- Dec 27, 2021
Practice Location
- Address
- 940 MORNINGSIDE DR
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29153-7724
- Phone
- (914) 359-7442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
| Clinic/Center - Community Health — Community Health |
| Nurse Practitioner - Adult Health — Adult Health |
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