Kimberly Dianne Billie Jackson
AGNP-C | Nurse Practitioner
940 Morningside Dr, Sumter
South Carolina, 29153-7724
914-359-7442
Kimberly Dianne Billie Jackson is a Sumter, South Carolina based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Kimberly Dianne Billie Jackson is APN.23707 for Nurse Practitioner in South Carolina. Her current practice location is 940 Morningside Dr, Sumter. Patients can reach her at 914-359-7442 or can fax her at 803-883-4087. Kimberly Dianne Billie Jackson is AGNP-C with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1588293278.
Kimberly Dianne Billie Jackson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kimberly Dianne Billie Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kimberly Dianne Billie Jackson |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | AGNP-C |
| Practice Address: | 940 Morningside Dr, Sumter,
South Carolina, 29153-7724 |
| Phone: | 914-359-7442 |
| Fax: | 803-883-4087 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1588293278 |
| NPI Enumeration Date: | 04 Apr, 2020 |
| NPI Last Update On: | 27 Dec, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimberly Dianne Billie Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| APN.23707 | Nurse Practitioner | South Carolina | Primary | |
| 23707 | Clinical Medical Laboratory | South Carolina | Secondary | |
| APN.23707 | Adult Health | South Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kimberly Dianne Billie Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| AG01200075 | Other | | AANP CERTIFICATION NUMBER |
| AG01200075 | Other | | AMERICAN ASSOCIATION OF NURSE PRACTITIONERS CERTIFYING BOARD |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kimberly Dianne Billie Jackson
Po Box 141,
Sumter, South Carolina |
| Zip: | 29151-0141 |
| Phone Number: | 914-359-7442 |
| Fax Number: | 803-883-4087 |
Patients can reach Kimberly Dianne Billie Jackson at
940 Morningside Dr, Sumter, South Carolina or can
call to book an appointment on 914-359-7442.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.