Kimberly Marie Jackson is a Conway, South Carolina based nurse practitioner with 9 years of experience in . She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kimberly Marie Jackson is 20986 in South Carolina. Her current practice location is 2376 Cypress Cir Ste 300, Conway. Patients can reach her at 843-353-3460. Kimberly Marie Jackson is ACNPC-AG and her NPI number (Unique professional ID assigned by NPPES) is 1336682780. Kimberly Marie 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 Marie 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 Marie Jackson
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
ACNPC-AG
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Accepts Medicare Assignment:
Yes
Practice Address:
2376 Cypress Cir Ste 300, Conway, South Carolina, 29526-8995
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.
PAC ID:
2668744947
Enrollment ID:
I20170822000147
NPI Number:
1336682780
NPI Enumeration Date:
02 Dec, 2016
NPI Last Update On:
20 Jul, 2022
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 Marie Jackson are as mentioned below.
License Number
Specialization
State
Status
20986
South Carolina
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(420049)
Conway, SC
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kimberly Marie Jackson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Orthosc Llc (8022370030)
68
Other Medical Identifiers:
Other legacy medical identifiers associated with Kimberly Marie Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
20986
Other
South Carolina
SC NURSING 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 Marie Jackson 210 Village Center Blvd Ste 140, Myrtle Beach, South Carolina
Zip:
29579-6706
Phone Number:
843-353-3460
Fax Number:
843-353-3461
Patients can reach Kimberly Marie Jackson at 2376 Cypress Cir Ste 300, Conway, South Carolina or can call to book an appointment on 843-353-3460.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.