Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Jackson FNP LLC

Organization Nurse Practitioner · NPI 1811350770

Kimberly Jackson FNP LLC is a Nurse Practitioner in Mahopac, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

31 Weber Hill Rd
Mahopac, NY 10541-1829
Phone: (914) 260-8087
Fax: (845) 767-5088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 336506 (NY)

Record details

NPI number1811350770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Jackson — Owner/Provider · (914) 260-8087
Other names Kumuda Family Health Care
NPI enumeratedMarch 29, 2016
Last updated in NPPESMarch 30, 2016
Mailing address31 Weber Hill Rd, Mahopac, NY 10541-1829

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