Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMIKA M JACKSON
Active Sole ProprietorKIMIKA M JACKSON is a Developmental Disabilities Clinic healthcare provider located in COLUMBUS, Ohio. NPI 1386136497 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · COLUMBUS, OH
Registration Details
- NPI Number
- 1386136497
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2018 (8.2132732048134 yrs)
- Last Updated
- Dec 11, 2025
- License
-
FPS.000303 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1661 ALPINE DRCOLUMBUS, OH, 432292162Browse OH providers · Browse ZIP 43229
- Phone
- 6147780815
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
- Additional Specialty
- Respite Care (Camp)
- Additional Specialty
- Early Intervention Provider Agency
- Additional Specialty
- Developmental Disabilities Clinic
- Additional Specialty
- Behavior Analyst
Other Developmental Disabilities Clinic Providers in COLUMBUS, OH
| Name | Credential | NPI |
|---|---|---|
| MICHELLE L SCOTT | — | 1487425021 |
| CHARLCIA THOMAS-AGEE | — | 1134015365 |
| MR. GERALD LAMAR JONES | — | 1962376376 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.