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

Dr. Kimberly Nicole Jackson, DO

Individual provider Family Medicine Physician · NPI 1447536370

Dr. Kimberly Nicole Jackson, DO is a Family Practice in Warren, Ohio. Graduated from Ohio University, College of Osteopathic Medicine in 2011, 15 years ago. Practices with Triad Health Services LLC, a 253-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
OH
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2581 N Rd NE
Warren, OH 44483-3052
Phone: (234) 287-6802
Fax: (330) 372-4437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34.011422 (OH)

Record details

NPI number1447536370
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedOctober 24, 2011
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023
Mailing addressPo Box 645409, Pittsburgh, PA 15264-5252

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2011 (15 years in practice)
Group practice Triad Health Services Llc — 253 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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