Jackson, Kim Janice

Jackson, Kim Janice is an sole proprietor health care provider with primary practice located at 1135 East 82Nd Street , Brooklyn NY 11236. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Agencies / Nursing Care. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Jackson, Kim Janice can be contacted via phone (347) 525-3112.

Contact Information

Primary practice address
1135 East 82Nd Street Brooklyn NY 11236
Phone: (347) 525-3112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 302935-1 New York
Agencies / Nursing Care 251J00000X 302935-1 New York

Profile Details

NPI number 1285944637
LBN Legal business name Jackson, Kim Janice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2010
Last updated Oct 19th, 2010 - about 15 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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