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KIMBERLY L JACKSON
NPI 1508561796
Peer Specialist in Elizabethtown, KY

Active since April 05, 2023
415 E DIXIE AVE, ELIZABETHTOWN, KY 42701(270) 982-7378(270) 982-7379 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly L Jackson NPPES

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

KIMBERLY L JACKSON (NPI 1508561796) is an individual peer specialist in Elizabethtown, Kentucky and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1508561796
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKIMBERLY L JACKSON
Location Address415 E DIXIE AVEElizabethtown, KY 42701-1162
Mailing AddressPo Box 6098Elizabethtown, KY 42702-6098 · (270) 982-7372 · Fax (270) 982-7372
Phone(270) 982-7378
Fax(270) 982-7379
Sole ProprietorNo
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1508561796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
415 E DIXIE AVE, Elizabethtown, KY 42701
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Other Providers at the Same Location NPPES 5

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

PAULA RICHARDS
Case Manager/Care Coordinator
415 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-9478
MEGAN LINDSEY HUDDLE
Case Manager/Care Coordinator
415 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 982-7378
TARA LEANNE PATRICK
Case Manager/Care Coordinator
415 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-9478
JARIUS SYKES
Case Manager/Care Coordinator
415 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 982-7378
GWENDOLYNN FAITH CROUCH
Case Manager/Care Coordinator
415 E DIXIE AVE
ELIZABETHTOWN, KY 42701
Hardin County (270) 982-7378

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 1508561796. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 415 E Dixie Ave, Elizabethtown, KY 42701. The listed phone number is (270) 982-7378.

What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.