Kimberly Dianne Billie Jackson, AGNP-C
Kimberly Dianne Billie Jackson, AGNP-C is a Clinical Medical Laboratory in Sumter, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
940 Morningside DrSumter, SC 29153-7724
Phone: (914) 359-7442
Fax: (803) 883-4087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Clinic/Center (primary) | Taxonomy 261QC1500X · Licence APN.23707 (SC) |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X · Licence 23707 (SC) |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence APN.23707 (SC) |
Record details
| NPI number | 1588293278 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | Yes |
| NPI enumerated | April 4, 2020 |
| Last updated in NPPES | December 27, 2021 |
| Certification date | December 27, 2021 |
Other providers in Sumter
-
Allheart Health Systems, LLC
188 S Pike E, Sumter, SC 29150-2131 · (914) 359-7442
-
Vizer Health LLC
188 S Pike E, Sumter, SC 29150-2131 · (914) 359-7442