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

Kim Rene Jackman

Individual provider Licensed Practical Nurse · NPI 1568795573

Kim Rene Jackman is a Licensed Practical Nurse in Rockville Centre, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

524 Jefferson Ave
Rockville Centre, NY 11570-3312
Phone: (516) 255-4699
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 246730 (NY)

Record details

NPI number1568795573
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 9, 2009
Last updated in NPPESSeptember 9, 2009

Other providers in Rockville Centre