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

Kimcheree Jackson

Individual provider Nurse Practitioner · NPI 1083093355

Kimcheree Jackson is a Nurse Practitioner in Sanford, Florida. Qualified in 2014, 12 years ago. Practices with Upperline Healthcare PC, a 188-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2015

Practice location Address checks out

4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone: (407) 322-8645
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9250679 (FL)

Record details

NPI number1083093355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2015
Last updated in NPPESApril 30, 2020
Certification dateApril 30, 2020
Mailing address4930 E Lake Mary Blvd, Sanford, FL 32771-5003

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Upperline Healthcare Pc — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sanford