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

Kimmerly Jackson, FNP

Individual provider Family Nurse Practitioner · NPI 1972366086

Kimmerly Jackson, FNP is a Nurse Practitioner in Buffalo, New York. Qualified in 2023, 3 years ago. Practices with Jericho Road Ministries, Inc, a 33-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

184 Barton St
Buffalo, NY 14213-1573
Phone: (716) 881-6191
Fax: (716) 881-6247
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 353174 (NY)

Record details

NPI number1972366086
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 1, 2024
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Jericho Road Ministries, Inc. — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Buffalo