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KIM RENE JACKMAN
NPI 1568795573
Licensed Practical Nurse in Rockville Centre, NY

Active since September 09, 2009
524 JEFFERSON AVE, ROCKVILLE CENTRE, NY 11570(516) 255-4699 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Rene Jackman NPPES

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

KIM RENE JACKMAN (NPI 1568795573) is an individual licensed practical nurse in Rockville Centre, New York, licensed in New York (246730) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1568795573
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIM RENE JACKMAN
Location Address524 JEFFERSON AVERockville Centre, NY 11570-3312
Mailing Address524 Jefferson AveRockville Centre, NY 11570-3312 · (516) 255-4699
Phone(516) 255-4699
Sole ProprietorYes
Enumeration DateSeptember 9, 2009
✔ NPI 1568795573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 246730
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
524 JEFFERSON AVE, Rockville Centre, NY 11570
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Other Identifiers 3

Medicare UPIN246730NY
Medicaid246730NY
Medicare PIN246730NY

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 Kim Jackman's NPI number?

The NPI number for Kim Jackman is 1568795573. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Kim Jackman located?

Kim Jackman practices at 524 Jefferson Ave, Rockville Centre, NY 11570. The listed phone number is (516) 255-4699.

What is Kim Jackman's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kim Jackman was last updated on September 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.