Kimberly Chenault Jackson
Nurse Practitioner · Millbrook, AL
Practice location
222 Fairway DrMillbrook, AL 36054-1846
- Phone
- (334) 322-4886
NPI record
- NPI
- 1407796774
- Entity type
- Individual (Type 1)
- Enumeration date
- March 30, 2026
- Last updated
- March 30, 2026
- Certified
- March 29, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
1-170200 | AL |
About Kimberly Jackson
Kimberly Chenault Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 222 Fairway Dr, Millbrook, AL 36054-1846. The NPI number 1407796774 was assigned on March 30, 2026 and the record was last updated on March 30, 2026.
Kimberly Jackson lists a license in the registry: #1-170200 (AL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kimberly Chenault Jackson?
The NPI number is 1407796774.
What is the phone number of Kimberly Jackson?
The phone number listed for the practice location is (334) 322-4886.
Where is Kimberly Jackson located?
222 Fairway Dr, Millbrook, AL 36054-1846.
What is the taxonomy code for Kimberly Jackson?
The primary taxonomy code is 363L00000X – Nurse Practitioner.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Nurse Practitioner providers in Millbrook
- Ashley D. D'Elia, CRNP4081 Highway 14