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

Kimberly Jackson

Individual provider Case Manager/Care Coordinator · NPI 1962858050

Kimberly Jackson is a Case Manager/Care Coordinator in Tallulah, Louisiana. Practices as a sole proprietor and works from 2 locations. Licensed in Louisiana.

Licensed in
LA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

1705 Felicia Ave
Tallulah, LA 71282
Phone: (318) 574-1232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 Lake St, Lake Providence, LA 71254-5208 — (318) 559-0414

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 10088 (LA)
Case Manager/Care Coordinator Taxonomy 171M00000X (LA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 10088 (LA)

Record details

NPI number1962858050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 9, 2016
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address1705 Felicia Ave, Tallulah, LA 71282-8203

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