IndividualActive
Kimberly Jackson, CNA
NPI 1972930279 · Nurse's Aide · Spartanburg, SC
Provider details
- NPI number
- 1972930279
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 116725E (SC)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
518 E Main St
Spartanburg, SC 29302-1927
Phone: (864) 670-0373
Approximate (ZIP-level) locationGet directions
Mailing address
518 E Main St
Spartanburg, SC 29302-1927
Registry dates
- Enumerated
- 2013-10-01
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.