Jackson, Kimberly Nicole

Jackson, Kimberly Nicole is an individual health care provider with primary practice located at 27018 Lee Hwy , Abingdon VA 24211-7512. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jackson, Kimberly Nicole can be contacted via phone (276) 525-4460.

Contact Information

Primary practice address
27018 Lee Hwy Abingdon VA 24211-7512
Phone: (276) 525-4460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0133001314 Virginia

Profile Details

NPI number 1104480615
LBN Legal business name Jackson, Kimberly Nicole
Credentials LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2019
Last updated Nov 17th, 2020 - about 6 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.

Request for update

Popular Providers