MS. KIMBERLY MONIWUE GILMORE JACKSON LPN
NPI 1811290141
Licensed Practical Nurse in Lewiston, NY

Active since December 08, 2010
5285 LEWISTON RD, LEWISTON, NY 14092(716) 298-2900(716) 298-3815 Get Directions Write a Review

NPPES record last updated: December 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kimberly Moniwue Gilmore Jackson Lpn NPPES

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

MS. KIMBERLY MONIWUE GILMORE JACKSON LPN (NPI 1811290141) is an individual licensed practical nurse in Lewiston, New York, licensed in New York (2785861) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1811290141
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. KIMBERLY MONIWUE GILMORE JACKSONCredential: LPN
Location Address5285 LEWISTON RDLewiston, NY 14092-1942
Mailing Address8521 Porter Rd Apt 108Niagara Falls, NY 14304-1631 · (716) 297-6075 · Fax (716) 298-3815
Fax(716) 298-3815
Sole ProprietorYes
Enumeration DateDecember 8, 2010
NPI 1811290141 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 · 2785861
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.
5285 LEWISTON RD, Lewiston, NY 14092

Other Providers at the Same Location NPPES 20

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

Occupational Therapy Assistant
5285 LEWISTON RD
LEWISTON, NY 14092
Physical Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Physical Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Occupational Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Physical Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Physical Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Occupational Therapist
5285 LEWISTON RD
LEWISTON, NY 14092
Occupational Therapist
5285 LEWISTON RD
LEWISTON, NY 14092

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 Gilmore Jackson's NPI number?

The NPI number for Kimberly Gilmore Jackson is 1811290141. It was assigned to this individual provider in the NPPES registry on December 8, 2010.

Where is Kimberly Gilmore Jackson located?

Kimberly Gilmore Jackson practices at 5285 Lewiston Rd, Lewiston, NY 14092. The listed phone number is (716) 298-2900.

What is Kimberly Gilmore Jackson'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 Kimberly Gilmore Jackson was last updated on December 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.