MRS. KIMBERLY CHENAULT JACKSON
NPI 1407796774
Nurse Practitioner in Millbrook, AL

Q: What is Kimberly Jackson's NPI number?

The NPI number for Kimberly Jackson is 1407796774. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Q: What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 30, 2026

222 FAIRWAY DR, MILLBROOK, AL 36054(334) 322-4886 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kimberly Chenault Jackson NPPES

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

MRS. KIMBERLY CHENAULT JACKSON (NPI 1407796774) is an individual nurse practitioner in Millbrook, Alabama, licensed in Alabama (1-170200) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1407796774

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KIMBERLY CHENAULT JACKSON

Location Address222 FAIRWAY DRMillbrook, AL 36054-1846

Mailing Address222 Fairway DrMillbrook, AL 36054-1846 · (334) 322-4886

Phone(334) 322-4886

Sole ProprietorNo

Enumeration DateMarch 30, 2026

NPPES CertifiedMarch 29, 2026

✔ NPI 1407796774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AL · 1-170200

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

222 FAIRWAY DR, Millbrook, AL 36054

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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 1407796774. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 222 Fairway Dr, Millbrook, AL 36054. The listed phone number is (334) 322-4886.

What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.