MS. KIMBERLY A JACKSON PMHNP, FNP
NPI 1083923353
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY
NPI Status: Active since October 04, 2010
Contact Information
266 BROADWAY STE 401
BROOKLYN, NY
ZIP 11211
Phone: (347) 696-1375
Fax: (914) 222-8973
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
About KIMBERLY JACKSON
This page provides the complete NPI Profile along with additional information for Kimberly Jackson, a provider established in Brooklyn, New York with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1083923353 assigned on October 2010. The practitioner's primary taxonomy code is 363LP0808X with license number 403954 (NY). The provider is registered as an individual and her NPI record was last updated January 2026.
- NPI
- 1083923353
- Provider Name
- MS. KIMBERLY A JACKSON PMHNP, FNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 266 BROADWAY STE 401 BROOKLYN, NY 11211
- Location Phone
- (347) 696-1375
- Location Fax
- (914) 222-8973
- Mailing Address
- 266 BROADWAY STE 401 BROOKLYN, NY 11211
- Mailing Phone
- (347) 696-1375
- Mailing Fax
- (914) 222-8973
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-04-2010
- Last Update Date
- 01-29-2026
- Code Navigator
A nurse practitioner (NP) like Kimberly Jackson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 403954
- License State
- NY
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 336506 (NY) |
| 2 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 12.007638 (CT) |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
This service was performed 24 times for 23 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 24 times for 23 patientsReviews for MS. KIMBERLY A JACKSON PMHNP, FNP
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083923353, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BROOKLYN, NY 11211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083923353, enumerated as an "individual" on October 04, 2010.
The provider is located at 266 BROADWAY STE 401 BROOKLYN, NY 11211 and the phone number is (347) 696-1375.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
