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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KIMBERLY NICOLE JACKSON, D.O.

Active Sole Proprietor

DR. KIMBERLY NICOLE JACKSON, D.O. is a Family Medicine healthcare provider located in WARREN, Ohio. NPI 1447536370 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WARREN, OH

Registration Details

NPI Number
1447536370
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2011 (14.806986827299 yrs)
Last Updated
Sep 27, 2023
License
34.011422 (OH)
Sole Proprietor
Yes

Practice Information

Address
2581 NORTH RD NE
WARREN, OH, 444833052
Browse OH providers · Browse ZIP 44483
Phone
2342876802
Fax
3303724437
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WARREN, OH

Name Credential NPI
DR. SHARON L GEORGE D.O. 1942292461
DR. RICHARD ANTHONY HART MD 1225021025
MR. MICHAEL K ROBERTS MD 1578550620
JAGDISH HARIPRASAD PATEL MD 1235129404
RONALD STEPHEN PALOSKI DO 1932180155
DR. ZACHARY F VERES DO 1285619239
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.