National Provider Identifier
Kimmerly Jackson, FNP
Kimmerly Jackson, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 881-6191.
Profile Overview
- NPI
- 1972366086
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- February 01, 2024
- Last Updated
- February 01, 2024
Practice Location
- 184 Barton St
- Buffalo, NY 14213-1573
Phone: (716) 881-6191
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1972366086
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Kimmerly
- Credential
- FNP
- Mailing Street Address
- 184 Barton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1573
- Mailing Country
- US
- Mailing Phone
- (716) 881-6191
- Mailing Fax
- (716) 881-6247
- Practice Street Address
- 184 Barton St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-1573
- Practice Country
- US
- Practice Phone
- (716) 881-6191
- Practice Fax
- (716) 881-6247
- Enumeration Date
- February 01, 2024
- Last Updated
- February 01, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)