IndividualActive
Kimberly Jackson, RN
NPI 1407796923 · General Practice Registered Nurse · Columbia, MO
Provider details
- NPI number
- 1407796923
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 2005022672 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
800 Hospital Dr
Columbia, MO 65201-5275
Phone: (573) 814-6000
Approximate (ZIP-level) locationGet directions
Mailing address
2001 Pettis Dr
Columbia, MO 65202-2962
Registry dates
- Enumerated
- 2026-04-01
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.