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MS. KIMBERLY A JACKSON PMHNP, FNP
NPI 1083923353
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Active since October 04, 2010
266 BROADWAY STE 401, BROOKLYN, NY 11211(347) 696-1375(914) 222-8973 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 29, 2026, Apr 11, 2025, Jan 7, 2022 and 1 more (4 updates tracked since 2016).

About Ms. Kimberly A Jackson Pmhnp, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KIMBERLY A JACKSON PMHNP, FNP (NPI 1083923353) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (403954) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1083923353
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KIMBERLY A JACKSONCredential: PMHNP, FNP
Location Address266 BROADWAY STE 401Brooklyn, NY 11211-6306
Mailing Address266 Broadway Ste 401Brooklyn, NY 11211-6306 · (347) 696-1375 · Fax (914) 222-8973
Phone(347) 696-1375
Fax(914) 222-8973
Sole ProprietorYes
Enumeration DateOctober 4, 2010
Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1083923353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NY · 403954✔ Licensed in CT · 12.007638
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 336506 (NY)
266 BROADWAY STE 401, Brooklyn, NY 11211
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELL SPACE NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC
Clinic/Center (Medical Specialty)
266 BROADWAY STE 401
BROOKLYN, NY 11211
Kings County (347) 696-1375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1083923353. It was assigned to this individual provider in the NPPES registry on October 4, 2010.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 266 Broadway Ste 401, Brooklyn, NY 11211. The listed phone number is (347) 696-1375.

What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.