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

Kimberly Marie Jackson, ACNPC-AG

Individual provider Nurse Practitioner · NPI 1336682780

Kimberly Marie Jackson, ACNPC-AG is a Nurse Practitioner in Conway, South Carolina. Qualified in 2016, 10 years ago. Practices with Orthosc LLC, a 115-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
10
Licensed in
SC
In the registry since
2016

Practice location Address checks out

2376 Cypress Cir Ste 300
Conway, SC 29526-8995
Phone: (843) 353-3460
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 20986 (SC)

Record details

NPI number1336682780
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedDecember 2, 2016
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Orthosc Llc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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