Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mrs. Kimberly Ann Jackson, ARNP

Women's Health Nurse Practitioner in Providence, KY · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023135126

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Registry record

Entity type Individual (Type 1)

Name Mrs. Kimberly Ann Jackson

Credential ARNP

Sex Female

Practice address 215 E Main St, Providence, KY, 42450

Phone (270) 667-7017

Fax (270) 667-9065

Enumeration date Mar 23, 2007

Last updated in NPPES Mar 2, 2018

Taxonomy & licenses

363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 1086349 (KY) Primary

Other identifiers

Identifier	Type	State	Issuer
K185610	Other	KY	MEDICARE - RHCA
7100128660	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kimberly Jackson?

The National Provider Identifier (NPI) for Kimberly Jackson is 1023135126, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kimberly Jackson practice?

The practice location on file with NPPES is in Providence, KY. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-02.