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

Mrs. Kim Janice Jackson

Individual provider Licensed Practical Nurse · NPI 1285944637

Mrs. Kim Janice Jackson is a Licensed Practical Nurse in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
Specialties on file
2

Practice location Address checks out

1135 E 82nd St
Brooklyn, NY 11236
Phone: (347) 525-3112
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 302935-1 (NY)
Nursing Care Agency Taxonomy 251J00000X · Licence 302935-1 (NY)

Record details

NPI number1285944637
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 19, 2010
Last updated in NPPESOctober 19, 2010

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