Ms. Kimberly A Jackson is a Baldwin Place, New York based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Ms. Kimberly A Jackson is 403954 for Psych/Mental Health in New York. Her current practice location is 49 Clayton Blvd Apt 323, Baldwin Place. Patients can reach her at 914-343-3149 or can fax her at 878-213-4061. Ms. Kimberly A Jackson is PMHNP, FNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1083923353. Ms. Kimberly A Jackson provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Ms. Kimberly A 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:
Ms. Kimberly A Jackson
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
PMHNP, FNP
Practice Address:
49 Clayton Blvd Apt 323, Baldwin Place, New York, 10505-2058
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:
1083923353
NPI Enumeration Date:
04 Oct, 2010
NPI Last Update On:
07 Jan, 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 Ms. Kimberly A Jackson are as mentioned below.
License Number
Specialization
State
Status
403954
Psych/Mental Health
New York
Primary
12.007638
Psych/Mental Health
Connecticut
Secondary
336506
Family
New York
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kimberly A Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
03280733
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Kimberly A Jackson 49 Clayton Blvd Apt 323, Baldwin Place, New York
Zip:
10505-2058
Phone Number:
914-343-3149
Fax Number:
878-213-4061
Patients can reach Ms. Kimberly A Jackson at 49 Clayton Blvd Apt 323, Baldwin Place, New York or can call to book an appointment on 914-343-3149.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.