Jackson, Kimberly

Jackson, Kimberly is an sole proprietor health care provider with primary practice located at 4020 Ulmer Rd 220, Columbia SC 29209-3305. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Jackson, Kimberly can be contacted via phone (803) 708-9059.

Contact Information

Primary practice address
4020 Ulmer Rd 220 Columbia SC 29209-3305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 116725E South Carolina

Profile Details

NPI number 1972930279
LBN Legal business name Jackson, Kimberly
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2013
Last updated Oct 1st, 2013 - about 11 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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