Jackson, Kimberly

Jackson, Kimberly is an sole proprietor health care provider with primary practice located at 1402 Penn Ave , Pittsburgh PA 15221-2413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Jackson, Kimberly can be contacted via phone (412) 224-9534.

Contact Information

Primary practice address
1402 Penn Ave Pittsburgh PA 15221-2413
Phone: (412) 224-9534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP024265 Pennsylvania

Profile Details

NPI number 1083380125
LBN Legal business name Jackson, Kimberly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2021
Last updated Aug 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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