KIMYUANA JACKSON (NPI# 1184222374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184222374 |
| Entity Type | Individual |
| Full Name | KIMYUANA JACKSON |
| Practice Address |
20 Hobo Fork Rd Natchez MS 39120-9025 |
| Practice Telephone | 6013042558 |
| Enumeration Date | 2020-10-11 |
| Last Update Date | 2020-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
904207 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
20 HOBO FORK RD |
| City | NATCHEZ |
| State | MS |
| Zip Code | 39120-9025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245466242 | John Ballew Carlton | Dentist | 20 Hobo Fork Rd, Natchez, MS 39120-9025 | 2009-06-04 |
| 1417233628 | Stacy Lynn Cook | Nurse Practitioner | 20 Hobo Fork Rd, Natchez, MS 39120-9025 | 2011-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903518 | Rosa L. Newman | Foster Care Agency | 722 North Rankin St, Natchez, MS 39120 | 2019-10-11 |
| 1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
| 1164918728 | We Care Express LLC | Non-emergency Medical Transport (VAN) | 137 Greystone Pl, Natchez, MS 39120 | 2018-07-06 |
| 1053841585 | Tyler Lee Huls | Specialist/Technologist | 48 Sgt Prentiss Drive, Natchez, MS 39120 | 2017-06-18 |
| 1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
| 1760818017 | Miss-lou Dental LLC | Dentist | 110 Highway 61 South, Natchez, MS 39120 | 2013-09-18 |
| 1922344902 | Bluebonnet Dental Care Natchez | Dentist | 101 Highway 61 South, Natchez, MS 39120 | 2012-12-20 |
| 1265781033 | Hal Sheldon Edwards | Pharmacist | 285 Sgt Prentiss Drive, Natchez, MS 39120 | 2012-09-07 |
| 1790031607 | Catherine Misita | Social Worker | 113 N Union St, Natchez, MS 39120 | 2012-07-29 |
| Find all providers in zip 39120 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277206 | Sabrita R Hopkins | Family Medicine | 133 Rivergate Cv, Ridgeland, MS 39157-1039 | 2020-08-24 |
| 1629540646 | Homebridge Health, LLC | Family Medicine | 203 Remington Dr, Brandon, MS 39042-2829 | 2019-01-02 |
| 1578082137 | Kayla Anglin Moore | Family Medicine | 4381 S Eason Blvd Ste 202, Tupelo, MS 38801-6585 | 2017-09-14 |
| 1922186535 | David D Richardson | Family Medicine | 2659 Lakeland Dr Ste C, Flowood, MS 39232-9516 | 2006-11-01 |
| 1780610444 | Saloum Cisse | Family Medicine | 119 S Oak, Suite 2, Raymond, MS 39154-4205 | 2006-06-24 |
| 1821032392 | Rachel Antonia Jones | Family Medicine | 866 Medical Plz, Jackson, MS 39204-4948 | 2006-06-15 |
| 1831150531 | Harsh Doshi | Family Medicine | 17280 Highway 17 South, Lexington, MS 39095 | 2006-03-31 |
| 1922006279 | Virgil Isaac Aultman | Family Medicine | 2747 Old Canton Rd, Jackson, MS 39216-4308 | 2005-07-11 |
| 1659993129 | Hawkins Family Medicine, Pllc | Family Medicine | 491a Craft St, Holly Springs, MS 38635-3251 | 2020-05-07 |
| 1174163620 | Samantha Smith | Family Medicine | 122 E Academy St, Canton, MS 39046-4502 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.