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KIMBERLY JACKSON CNA
NPI 1972930279
Nurse's Aide in Spartanburg, SC

Active since October 01, 2013
518 E MAIN ST, SPARTANBURG, SC 29302(864) 670-0373 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Jackson Cna NPPES

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

KIMBERLY JACKSON CNA (NPI 1972930279) is an individual nurse's aide in Spartanburg, South Carolina, licensed in South Carolina (116725E) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1972930279
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameKIMBERLY JACKSONCredential: CNA
Location Address518 E MAIN STSpartanburg, SC 29302-1927
Mailing Address518 E Main StSpartanburg, SC 29302-1927 · (864) 670-0373
Phone(864) 670-0373
Sole ProprietorYes
Enumeration DateOctober 1, 2013
Last NPPES UpdateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1972930279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License✔ Licensed in SC · 116725E
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
518 E MAIN ST, Spartanburg, SC 29302
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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 1972930279. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Kimberly Jackson located?

Kimberly Jackson practices at 518 E Main St, Spartanburg, SC 29302. The listed phone number is (864) 670-0373.

What is Kimberly Jackson's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Jackson was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.