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

Kimberly Pierce Nelson, NP

Individual provider Family Nurse Practitioner · NPI 1124334511

Kimberly Pierce Nelson, NP is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2010, 16 years ago. Practices with St Dominic Jackson Memorial, a 55-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
16
Licensed in
MS
In the registry since
2010
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

969 Lakeland Dr
Jackson, MS 39216-4606
Phone: (601) 200-6836
Fax: (601) 200-0128
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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 R865368 (MS)

Record details

NPI number1124334511
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 24, 2010
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020
Mailing addressPo Box 23457, Jackson, MS 39225-3457

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice St. Dominic Jackson Memorial — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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