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

Kimberly Jackson

Individual provider Primary Care Nurse Practitioner · NPI 1083380125

Kimberly Jackson is a Primary Care Nurse Practitioner in Pittsburgh, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2021

Practice location Address checks out

1402 Penn Ave
Pittsburgh, PA 15221-2413
Phone: (412) 224-9534
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SP024265 (PA)

Record details

NPI number1083380125
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2021
Last updated in NPPESAugust 18, 2021
Certification dateAugust 18, 2021

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