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

Kimberly Carson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1174052773

Kimberly Carson, FNP-BC is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2017, 9 years ago. Practices with Brentwood Acquisition Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2017
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1832 Hospital Dr
Jackson, MS 39204-3410
Phone: (601) 371-8883
Fax: (844) 318-4882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 902048 (MS)

Record details

NPI number1174052773
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedJune 7, 2017
Last updated in NPPESAugust 28, 2017
Mailing address286 Funches Rd, Vicksburg, MS 39180-8037

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brentwood Acquisition Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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