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

MS. Kennie Nicole Jackson

Individual provider Adult Companion · NPI 1629380316

MS. Kennie Nicole Jackson is an Adult Companion in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
Specialties on file
3
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Practice location Address checks out

315 Palmyra Dr
Indianapolis, IN 46239-9170
Phone: (317) 909-0320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 2400290281 (IN)
Adult Companion Taxonomy 372600000X
Homemaker Taxonomy 376J00000X

Record details

NPI number1629380316
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2010
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

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